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修改后的莱马尔程序 修改后的莱马尔程序

Christoph Kittl1, Michael Wagner2, Andreas Weiler2

  • 1Department of Trauma, Hand and Reconstructive Surgery, Westphalian Wilhelms University Muenster, Muenster, Germany.

Video journal of sports medicine
|May 1, 2025
PubMed
概括
此摘要是机器生成的。

在前交叉带 (ACL) 重建过程中添加横向外关节带 (LET) 程序显著减少了移植失败. 修改后的莱马尔手术是一种有效的技术,用于解决前侧旋转不稳定性 (ALRI) 和改善ACL重建结果.

关键词:
侧侧额外关节重建 侧侧额外关节重建莱马尔的重建 莱马尔的重建在前侧侧带.侧侧额外关节性紧张症是

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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:

  • 前侧旋转不稳定性 (ALRI) 是前十字带 (ACL) 重建失败的一个关键因素.
  • 额外的前侧结构重建可以将移植破裂率减半.
  • 修改后的莱马尔手术是一种横向外关节透 (LET) 技术,用于管理ALRI.

研究的目的:

  • 详细介绍ALRI管理的修改后的Lemaire程序.
  • 为骨科外科医生提供手术技术指南.

主要方法:

  • 从Gerdy的结核中摘取一个7-10毫米的 iliotibial通道带.
  • 移植物被深深地传递到侧侧侧侧带.
  • 植入物在靠近侧侧大腿骨上垂体部的位置上被固定.

主要成果:

  • 研究表明,通过ACL重建和LET组合,移植裂变率降低,重返前受伤水平更高.
  • 观察到一种趋势,即长期降低了移植断裂率.
  • 应考虑潜在的侧腔骨关节炎风险增加.

结论:

  • 修改后的莱马尔手术是ACL重建的简单补充.
  • 这种LET技术有效降低了ACL移植失效率.