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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

概括

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.

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.

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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