Valentin A, Engström B
Department of Orthopedic Surgery, Karolinska Hospital, Stockholm, Sweden.
Arthroscopy. 1998 Jan-Feb;14(1):115-7. doi: 10.1016/s0749-8063(98)70135-5.
Performing arthroscopic anterior cruciate ligament (ACL) reconstruction using bone-patellar tendon-bone autograft normally includes placing sutures in the femoral bone plug to be able to pull the graft through the joint, and in the tibial bone plug to be able to apply tension to the graft as you insert the distal interference screw. We have used one No. 5 Ethibond suture (Ethicon, Somerville, NJ) for the femoral bone plug, and normally place two similar sutures into the tibial bone plug. This is to reduce the risk of loosing tension if one of the sutures is cut while inserting the tibial fixation screw. This article suggests a solution to the problems that will arise in cases of accidentally cutting both of the sutures in the tibial bone plug.
使用自体骨-髌腱-骨移植进行关节镜下前交叉韧带（ACL）重建通常包括在股骨骨块上放置缝线以便能够将移植物拉过关节，以及在胫骨骨块上放置缝线以便在插入远端干涉螺钉时能够对移植物施加张力。我们在股骨骨块上使用一根5号Ethibond缝线（Ethicon公司，新泽西州萨默维尔），通常在胫骨骨块上放置两根类似的缝线。这是为了降低在插入胫骨固定螺钉时如果其中一根缝线被切断而导致张力丧失的风险。本文提出了一种解决在胫骨骨块中两根缝线意外均被切断情况下所出现问题的方法。
