采用胫骨近端斜行截骨并外侧关节外肌腱固定术的单阶段一期前交叉韧带重建术
Single-Stage Primary Anterior Cruciate Ligament Reconstruction With Slope-Reducing Anterior Closing-Wedge Proximal Tibial Osteotomy and a Lateral Extra-Articular Tenodesis.
作者信息
Shoemaker Evan P, Tollefson Luke V, Lee Dustin R, Rasmussen Matthew T, LaPrade Robert F
机构信息
Twin Cities Orthopedics, Edina, Minnesota, U.S.A.
出版信息
Arthrosc Tech. 2025 Jun 4;14(8):103674. doi: 10.1016/j.eats.2025.103674. eCollection 2025 Aug.
Anterior cruciate ligament (ACL) tears with known risk factors for anterior cruciate ligament reconstruction (ACLR) graft failure, such as elevated posterior tibial slope ≥12°, require a comprehensive treatment approach. In primary ACLRs, slope-reducing anterior closing-wedge proximal tibial osteotomies are not frequently necessary; however, when slope is severely increased (>18°), they should be considered. This Technical Note describes a single-stage combined primary ACLR, anterior closing-wedge proximal tibial osteotomy, and lateral extra-articular tenodesis in a patient with a chronic ACL tear with increased posterior tibial slope.
对于存在前交叉韧带重建（ACLR）移植物失败已知风险因素的前交叉韧带（ACL）撕裂，如后胫骨坡度≥12°升高，需要综合治疗方法。在初次ACLR中，通常不需要进行减少坡度的前闭合楔形胫骨近端截骨术；然而，当坡度严重增加（>18°）时，应予以考虑。本技术说明描述了一名患有慢性ACL撕裂且后胫骨坡度增加的患者进行的单阶段联合初次ACLR、前闭合楔形胫骨近端截骨术和外侧关节外肌腱固定术。
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