残肢增强技术的解剖单束ACL重建

Adinun Apivatgaroon
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引用次数: 2

摘要

前交叉韧带(ACL)损伤是膝关节常见的韧带损伤。前交叉韧带重建已被证明可以改善膝关节稳定性和功能结果,并可预防骨关节炎改变和随后的半月板损伤。ACL重建技术已经发展成各种各样的方法。解剖单束前交叉韧带重建与残肢增强技术是最佳的重建方法。它可以改善生物愈合的临床效果,保留本体感觉功能,并显示出较少的术后胫骨隧道拓宽。本章介绍解剖单束前交叉韧带重建的分步技术,手术的适应症和禁忌症,首选移植物,固定方法,手术的要点和陷阱,以及术后康复。本章还对保留残肢前交叉韧带重建的相关文献进行了综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anatomic Single-Bundle ACL Reconstruction with Remnant Augmentation Technique
Anterior cruciate ligament (ACL) injury is the common ligamentous injury of the knees. An ACL reconstruction is the procedure that has been proven to improve knee stability and functional outcomes and may prevent the osteoarthritic changes and subsequent meniscal injuries. The ACL reconstruction techniques have been developed in various ways. Anatomical single-bundle ACL reconstruction with remnant augmentation tech- nique is the optimal reconstruction procedure. It may improve the clinical outcomes of biological healing, preserve the proprioceptive function, and has shown less tibial tunnel widening postoperatively. This chapter presents the step-by-step technique of an anatomical single-bundle ACL reconstruction, indication and contraindication for surgery, the preferred graft choice, fixation methods, pearls and pitfalls of the procedure, and postoperative rehabilitation. The review of literatures about the remnant preserving ACL reconstruction is also discussed in this chapter.
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