修订 前侧交叉带重建使用骨
Anthony J Ignozzi1, Ian MacLean1, Mark Miller1
1Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, USA.
Video journal of sports medicine
|May 1, 2025
概括
修复前十字带 (ACL) 重建可能是复杂的. 骨在解决道错位或扩张方面是有效的,一阶段的修订显示了与两阶段程序相似的结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 生物医学工程 生物医学工程
背景情况:
- 修复前十字带 (ACL) 重建带来了重大的技术挑战.
- 骨为涉及道错位或扩张的复杂病例提供解决方案.
研究的目的:
- 描述一阶段的修复ACL重建技术,使用骨.
- 突出显示在修复ACL手术中管理道缺陷的指示和程序步骤.
主要方法:
- 一个涉及患者的病例涉及一个错位和扩大的小腿道 (12毫米) 和一个垂直的股骨道.
- 对现有道进行了连续的12毫米的回.
- 12 x 30 毫米的整体移植骨被插入到大腿骨和骨道.
- 一个骨骨肌骨自移植被用于ACL重建.
主要成果:
- 之前的研究报告说,大腿道全移植骨的结合非常出色.
- 在带道中的全移植骨已经显示出患者报告的结果的显著改善和道扩张的减少.
- 一阶段的修改结果与两阶段的修改结果相似.
结论:
- 骨是修复ACL重建的可行选择,当道的位置不正确或扩大时.
- 描述的单阶段技术有效地解决了复杂的道问题.
- 文献支持一个阶段的修订ACL重建使用骨的令人满意的结果.
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