结合前交叉带和前侧带重建使用腿筋自移植:详细的外科手术技术
1Knee and Shoulder Unit, Shiv Hospital, Mahapuja Dham Chowk, Beside Balaji Hall, 150 Feet Ring Road, Rajkot, Gujarat 360005 India.
Indian journal of orthopaedics
|February 11, 2026
概括
前十字带 (ACL) 和前侧带 (ALL) 的联合重建有效地解决了持续的膝盖旋转不稳定性. 这种使用腿筋移植的手术方法显示出改善结果和恢复体育运动的希望.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 前十字带 (ACL) 重建后持续的旋转不稳定性影响15-35%的患者,导致移植失败并限制恢复运动.
- 前侧带 (ALL) 重建越来越多地与ACL重建一起使用,以管理剩余的旋转松性,并可能比传统的侧向外关节手术提高旋转稳定性.
研究的目的:
- 为了评估ACL和ALL复合重建的有效性,使用自主腿筋移植来解决旋转膝盖不稳定性的问题.
- 评估这种联合手术技术的改善临床结果,减少移植失败,并提高恢复到受伤前的活动水平的潜力.
主要方法:
- 这是一种手术技术,涉及躺卧的位置与90度的膝盖曲,利用收获的半肌和骨肌,分别用于ACL和ALL重建.
- 创建共享的股骨道入口点,靠近和后面的侧面表骨和骨道,用于格尔迪结核以下的ALL.
- 使用针盘固定移植体,并进行生理张力延伸,然后立即进行承重和受控的运动运动.
主要成果:
- 描述的联合ACL和ALL重建技术为旋转膝盖不稳定提供了可重复的手术选择.
- 早期康复可以进行受控的举重和运动范围的炼,在手术后六个月允许恢复旋转活动.
结论:
- 结合ACL和ALL重建与自身腿筋移植是一种可行的手术策略,用于旋转膝盖不稳定.
- 解剖植入物安置和最少的侵入性技术可能会导致更好的临床结果,更低的植入物失败率,以及更好的患者恢复恢复运动活动.
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