Veltri D M
Orthopedic Services, Luke Air Force Base, Arizona, USA.
Clin Sports Med. 1997 Jan;16(1):123-44. doi: 10.1016/s0278-5919(05)70010-7.
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.
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。