Stähelin A C, Weiler A
Virchow Klinikum, Humboldt-University, Berlin, Germany.
Arthroscopy. 1997 Dec;13(6):773-9. doi: 10.1016/s0749-8063(97)90019-0.
A modification of anterior cruciate ligament (ACL) reconstruction using a minimally invasive and endoscopic all-inside technique is presented. Both the femoral and tibial socket are approached through the joint so that there is no open tibial tunnel, which otherwise often causes significant pain and discomfort during early rehabilitation. The autologous semitendinosus tendon is harvested with a bone plug attached to its tibial insertion. The triple-stranded semitendinosus tendon is looped around the adjacent bone plug and fixed at the original tibial attachment site of the ACL using a soft threaded biodegradable poly-(D,L-lactide) interference screw. The screw is inserted endoscopically in an inside-out direction. In the femoral socket the graft is fixed without a bone plug directly to the tunnel wall using the biodegradable screw. The free part of the graft is thus not longer than the intra-articular distance, which may increase stiffness of the construct.
介绍了一种采用微创关节镜全内置技术改良的前交叉韧带（ACL）重建方法。股骨和胫骨骨道均通过关节进入，因此不存在开放的胫骨隧道，否则在早期康复过程中往往会引起明显的疼痛和不适。自体半腱肌腱在其胫骨附着处带有骨栓一并获取。三股半腱肌腱环绕相邻的骨栓，并使用软螺纹可生物降解的聚（D，L-丙交酯）干涉螺钉固定在前交叉韧带原来的胫骨附着部位。螺钉通过关节镜由内向外方向插入。在股骨骨道中，移植物不带有骨栓，直接使用可生物降解螺钉固定在隧道壁上。移植物的游离部分因此不超过关节内距离，这可能会增加结构的刚度。
