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用于前交叉韧带重建的四股绳肌编织移植术

Four-Strand Hamstring Braid Graft for Anterior Cruciate Ligament Reconstruction.

作者信息

Ariel de Lima Diego, Vinagre Gustavo, Samitier Gonzalo, Helito Camilo Partezani, Canuto Sergio Marinho de Gusmão

机构信息

UFERSA, Universidade Federal Rural do Semi-Árido, Mossoró, Brazil.

Department of Orthopaedic Surgery and Traumatology, Unidade Local de Saúde do Médio Ave, Porto, Portugal.

出版信息

Arthrosc Tech. 2025 May 21;14(7):103623. doi: 10.1016/j.eats.2025.103623. eCollection 2025 Jul.

DOI:10.1016/j.eats.2025.103623
PMID:40822233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12350219/
Abstract

Graft failure is a significant factor contributing to poor outcomes in anterior cruciate ligament reconstruction. A hamstring graft with a diameter of less than 8 mm is associated with nearly a 7-fold increase in the risk of failure. The technique proposed here introduces a hamstring braid graft configuration for anterior cruciate ligament reconstruction, offering a viable solution in cases where a larger graft diameter is needed. Mastering various hamstring graft preparation techniques is crucial to achieve an appropriate graft diameter and length that aligns with the patient's anatomy, height, and physical demands. In summary, the present technique, known as the Brazilian Braid, is a 4-strand hamstring braid graft that represents a reliable, easy-to-prepare, and reproducible graft preparation technique.

摘要

移植物失败是导致前交叉韧带重建效果不佳的一个重要因素。直径小于8毫米的腘绳肌移植物失败风险几乎增加7倍。本文提出的技术引入了一种用于前交叉韧带重建的腘绳肌编织移植物构型,为需要更大移植物直径的情况提供了一种可行的解决方案。掌握各种腘绳肌移植物制备技术对于获得与患者解剖结构、身高和身体需求相匹配的合适移植物直径和长度至关重要。总之,目前这项被称为巴西编织法的技术是一种四股腘绳肌编织移植物,代表了一种可靠、易于制备且可重复的移植物制备技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/d7873bf9007f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/9ab9027a669d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/46c881f95e91/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/c58e6e75a025/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/eb76d199dc70/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/d7873bf9007f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/9ab9027a669d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/46c881f95e91/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/c58e6e75a025/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/eb76d199dc70/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daf5/12350219/d7873bf9007f/gr5.jpg

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本文引用的文献

1
Anterior Cruciate Ligament Reconstruction Graft Options.前交叉韧带重建的移植物选择
Arthroscopy. 2025 Jan;41(1):16-18. doi: 10.1016/j.arthro.2024.10.004.
2
Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using the Superficial Layer Quadriceps Tendon Graft: Surgical Technique Description.使用股四头肌肌腱浅层移植物联合重建前交叉韧带和前外侧韧带:手术技术描述
Arthrosc Tech. 2024 May 30;13(10):103067. doi: 10.1016/j.eats.2024.103067. eCollection 2024 Oct.
3
Analysis of the Biomechanical Behavior of an Animal Model of Triple Hamstring Graft Configuration for Combined ACL and ALL Reconstruction with a Single Femoral Tunnel and a Single Strand for ALL Reconstruction.
单股全韧带重建且股骨隧道单一的联合前交叉韧带和全韧带重建三股绳肌移植物构型动物模型的生物力学行为分析
Rev Bras Ortop (Sao Paulo). 2024 May 19;59(4):e549-e555. doi: 10.1055/s-0044-1785664. eCollection 2024 Aug.
4
Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament: Triple-Strand Braided Hamstring Graft for the Anterior Cruciate Ligament and Gracilis Strand for the Anterolateral Ligament With a Single Femoral Tunnel.前交叉韧带和前外侧韧带联合重建:单股股骨隧道的三股编织腘绳肌腱移植物重建前交叉韧带,股薄肌肌腱重建前外侧韧带
Arthrosc Tech. 2024 May 14;13(8):103023. doi: 10.1016/j.eats.2024.103023. eCollection 2024 Aug.
5
Anterior Cruciate and Anterior Oblique Ligament Reconstruction Using Hamstrings and Peroneus Longus' Anterior Half Grafts.使用腘绳肌和腓骨长肌前半肌腱移植进行前交叉韧带和前斜韧带重建
Arthrosc Tech. 2023 May 8;12(6):e861-e866. doi: 10.1016/j.eats.2023.02.019. eCollection 2023 Jun.
6
Minimizing the risk of graft failure after anterior cruciate ligament reconstruction in athletes. A narrative review of the current evidence.降低运动员前交叉韧带重建术后移植失败风险。当前证据的叙述性综述。
J Exp Orthop. 2022 Mar 15;9(1):26. doi: 10.1186/s40634-022-00461-3.
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Peroneus Longus Tendon Autograft for Anterior Cruciate Ligament Reconstruction: A Safe and Effective Alternative in Nonathletic Patients.腓骨长肌腱自体移植用于前交叉韧带重建:非运动员患者的一种安全有效的替代方法。
Niger J Surg. 2021 Jan-Jun;27(1):42-47. doi: 10.4103/njs.NJS_22_20. Epub 2021 Mar 9.
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Knee Surg Sports Traumatol Arthrosc. 2021 Sep;29(9):2869-2879. doi: 10.1007/s00167-020-06279-9. Epub 2020 Sep 27.
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Hamstring Braid Graft Technique for Anterior Cruciate Ligament Reconstruction.用于前交叉韧带重建的腘绳肌编织移植技术。
Arthrosc Tech. 2019 Jul 19;8(8):e815-e820. doi: 10.1016/j.eats.2019.03.022. eCollection 2019 Aug.