完全内部的后侧交叉带重建使用自主四肢肌骨块
Francesco Pettinari1, Piero Franco1, Lucia Conoscenti1
1Department of General Orthopedic, University of Florence, A.O.U. Careggi CTO, Florence, Italy.
Arthroscopy techniques
|December 14, 2023
概括
后十字带 (PCL) 破裂是膝盖常见的伤害. 这项研究提出了一种使用自主四头肌肌进行PCL重建的新关节镜技术,解决了当前的外科手术挑战.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 膝盖外科手术 膝盖外科手术
背景情况:
- 后十字带 (PCL) 断裂占膝关节带损伤的很大一部分,通常单独发生或与其他带损伤一起发生.
- 虽然保守的管理是典型的,但手术修复PCL损伤是复杂的,并提出了技术上的挑战.
- 现有的重建方法面临着关于移植选择,道放置,后部隔间可视化和移植固定的局限性.
研究的目的:
- 介绍和描述一个新的关节镜全内部技术,用于后十字带重建.
- 为了解决与当前PCL重建程序相关的技术困难和担忧.
主要方法:
- 关节镜全内部外科手术技术.
- 使用了从四头肌肌中收获的单捆自体移植.
- 嵌入了一块骨骨块,用于移植固定.
主要成果:
- 描述的技术允许关节镜可视化和后十字带的重建.
- 它为PCL重建中的移植选择,道定位和固定挑战提供了潜在的解决方案.
结论:
- 描述的关节镜全内部技术使用单捆自主四头肌肌与骨块是一个可行的选择,用于后交叉带重建.
- 这种方法旨在克服现有技术的局限性,潜在地改善PCL受伤患者的治疗结果.
相关概念视频
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bones of the Upper Limb: Humerus
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
Bones of the Lower Limb: Femur and Patella
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
Bones of the Lower Limb: Tibia and Fibula
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...


