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关节镜下前交叉韧带重建术

Arthroscopic anterior cruciate ligament reconstruction.

作者信息

Veltri D M

机构信息

Orthopedic Services, Luke Air Force Base, Arizona, USA.

出版信息

Clin Sports Med. 1997 Jan;16(1):123-44. doi: 10.1016/s0278-5919(05)70010-7.

DOI:10.1016/s0278-5919(05)70010-7
PMID:9012564
Abstract

Significant advances in arthroscopic techniques have led to wide-spread performance of arthroscopically assisted ACL reconstruction. Properly performed reconstruction has proved to be successful clinically. The surgeon who undertakes ACL reconstruction must be familiar with techniques for both autograft hamstring augmentation and bone-patellar tendon-bone ACL reconstruction for the ACL-deficient knee. The arthroscopic techniques discussed in this article will allow successful treatment of most acute and chronic ACL injuries. Arthroscopic ACL reconstruction is a highly demanding procedure, with the possible risk of significant knee disability if the ACL graft is placed improperly. Proper patient selection, surgical technique, and postoperative rehabilitation remain the foundations for successful ACL reconstruction.

摘要

关节镜技术的重大进展已促使关节镜辅助下前交叉韧带重建术广泛开展。已证明,正确实施的重建术在临床上是成功的。进行前交叉韧带重建的外科医生必须熟悉用于自体腘绳肌增强和骨-髌腱-骨前交叉韧带重建的技术,以治疗前交叉韧带损伤的膝关节。本文所讨论的关节镜技术将能成功治疗大多数急性和慢性前交叉韧带损伤。关节镜下前交叉韧带重建是一项要求很高的手术,如果前交叉韧带移植物放置不当,可能会有导致膝关节严重功能障碍的风险。正确的患者选择、手术技术和术后康复仍然是前交叉韧带重建成功的基础。

相似文献

1
Arthroscopic anterior cruciate ligament reconstruction.关节镜下前交叉韧带重建术
Clin Sports Med. 1997 Jan;16(1):123-44. doi: 10.1016/s0278-5919(05)70010-7.
2
Arthroscopic anterior cruciate ligament reconstruction with quadriceps tendon-patellar bone autograft.关节镜下采用股四头肌肌腱-髌骨骨自体移植物重建前交叉韧带
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Knee stability after arthroscopic anterior cruciate ligament reconstruction using the middle third of the patellar ligament and quadrupled hamstring tendons grafts - A two-year follow-up.使用髌韧带中三分之一和四股腘绳肌腱移植物进行关节镜下前交叉韧带重建术后的膝关节稳定性——两年随访
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[The clinical application and biomechanical study of reconstruction of anterior and posterior cruciate ligament with hamstring tendons knot implant fixation].[腘绳肌腱结植入固定重建前后交叉韧带的临床应用及生物力学研究]
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Augmentation technique for anterior cruciate ligament injury.前交叉韧带损伤的增强技术。
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Simultaneous arthroscopic reconstruction of the anterior and posterior cruciate ligament using hamstring and quadriceps tendon autografts.使用腘绳肌腱和股四头肌肌腱自体移植物同时进行关节镜下前后交叉韧带重建。
J Trauma. 2009 Mar;66(3):780-8. doi: 10.1097/TA.0b013e31815d9b88.
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Reconstruction of the anterior cruciate ligament in females: A comparison of hamstring versus patellar tendon autograft.女性前交叉韧带重建:腘绳肌自体移植与髌腱自体移植的比较
Arthroscopy. 2002 Jan;18(1):46-54. doi: 10.1053/jars.2002.25974.
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Quadriceps tendon autograft for anterior cruciate ligament reconstruction: a comprehensive review of current literature and systematic review of clinical results.用于前交叉韧带重建的股四头肌肌腱自体移植:当前文献的全面综述及临床结果的系统评价
Arthroscopy. 2015 Mar;31(3):541-54. doi: 10.1016/j.arthro.2014.11.010. Epub 2014 Dec 25.

引用本文的文献

1
Global research status of anterior cruciate ligament reconstruction: a bibliometric analysis.前交叉韧带重建的全球研究现状:一项文献计量分析。
EFORT Open Rev. 2022 Dec 21;7(12):808-816. doi: 10.1530/EOR-21-0065.
2
Evaluation of regeneration of semitendinosus tendon using ultrasound imaging and isokinetic strength testing after graft harvest for arthroscopic anterior cruciate ligament reconstruction.关节镜下前交叉韧带重建取腱后,使用超声成像和等速肌力测试评估半腱肌腱的再生情况。
J Orthop. 2020 Jul 22;21:340-344. doi: 10.1016/j.jor.2020.07.002. eCollection 2020 Sep-Oct.
3
Proximal tibial fracture following anterior cruciate ligament reconstruction surgery: a biomechanical analysis of the tibial tunnel as a stress riser.
前交叉韧带重建术后胫骨近端骨折:作为应力集中源的胫骨隧道生物力学分析
Knee Surg Sports Traumatol Arthrosc. 2017 Aug;25(8):2397-2404. doi: 10.1007/s00167-015-3826-y. Epub 2015 Oct 14.
4
The transtibial versus the anteromedial portal technique in the arthroscopic bone-patellar tendon-bone anterior cruciate ligament reconstruction.关节镜下经胫骨与前内侧入路骨-髌腱-骨前交叉韧带重建术的比较。
Knee Surg Sports Traumatol Arthrosc. 2010 Aug;18(8):1013-37. doi: 10.1007/s00167-009-0964-0. Epub 2009 Nov 10.