在复杂的修复中使用新的解剖学前侧带重建ACL重建复杂的修复ACL重建
Luke V Tollefson1, Nicholas I Kennedy2, Robert F LaPrade1
1Twin Cities Orthopedics, Edina, Minnesota, USA.
Video journal of sports medicine
|May 1, 2025
概括
前侧带重建 (ALLR) 与前十字带重建 (ACLR) 结合,有效减少膝盖的不稳定性并降低重新手术率. 这项技术恢复了本地解剖学,改善了患者的整体膝盖功能和稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 前交叉带重建 (ACLRs) 旨在恢复膝盖功能,但通常会留下残留的前侧带不稳定性,这是移植失败的危险因素.
- 前侧带重建 (ALLR) 通过恢复前侧带复合体来增强ACLR,可能减少不稳定性并改善结果.
研究的目的:
- 描述一个使用阴带来解决ACLR后残留膝盖不稳定性的解剖ALLR技术.
- 评估ACLR和ALLR联合治疗在恢复膝关节稳定性和减少重新手术率方面的有效性.
主要方法:
- 术前评估包括体检 (轴转移测试) 和放射性成像 (标准视图,压力放射).
- 摘取一个8厘米的 iliotibial 带移植,在本地前侧带的带插入和股骨起源处放置.
- 最终的固定是在ACLR移植固定之后进行的.
主要成果:
- 结合ACLR和ALLR显示,与单独的ACLR (20.5%) 相比,复苏率明显较低 (8.9%).
- 使用ALLR修订ACLR有效降低了旋转松性,通过轴转移测试进行测量.
结论:
- 使用 iliotibial 带描述的解剖 ALLR 技术有效地恢复膝盖旋转松性和稳定性.
- 将ALLR与ACLR结合起来,为改善临床结果和减少特定患者群体的移植失败提供了一个有希望的方法.
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