{"title":"使用浅层股四头肌肌腱移植重建前交叉韧带和前外侧韧带：手术技术描述","authors":"Bernardo Garcia Barroso M.D. , Sergio Marinho de Gusmão Canuto M.D. , Camilo Partezani Helito M.D., Ph.D. , Márcio Cabral Fagundes Rêgo M.D. , Felipe Silveira Martins M.D. , Marcelo Cabral Fagundes Rêgo M.D.","doi":"10.1016/j.eats.2024.103067","DOIUrl":null,"url":null,"abstract":"<div><div>We present a technique for the combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction using the superficial layer quadriceps tendon graft. Anatomic reconstruction is achieved with outside-in femoral tunnel drilling. The femoral drill guide has an intra-articular placement at the femoral footprint of the ACL and an extra-articular placement at the femoral ALL attachment. This surgical technique does not need any special instruments and consists of 3 bone tunnels. The long length and customized superficial quadriceps tendon graft is harvested in a minimally invasive manner and allows an accessible and low-cost reconstruction of both ligaments.</div></div>","PeriodicalId":47827,"journal":{"name":"Arthroscopy Techniques","volume":"13 10","pages":"Article 103067"},"PeriodicalIF":1.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using the Superficial Layer Quadriceps Tendon Graft: Surgical Technique Description\",\"authors\":\"Bernardo Garcia Barroso M.D. , Sergio Marinho de Gusmão Canuto M.D. , Camilo Partezani Helito M.D., Ph.D. , Márcio Cabral Fagundes Rêgo M.D. , Felipe Silveira Martins M.D. , Marcelo Cabral Fagundes Rêgo M.D.\",\"doi\":\"10.1016/j.eats.2024.103067\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>We present a technique for the combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction using the superficial layer quadriceps tendon graft. Anatomic reconstruction is achieved with outside-in femoral tunnel drilling. The femoral drill guide has an intra-articular placement at the femoral footprint of the ACL and an extra-articular placement at the femoral ALL attachment. This surgical technique does not need any special instruments and consists of 3 bone tunnels. The long length and customized superficial quadriceps tendon graft is harvested in a minimally invasive manner and allows an accessible and low-cost reconstruction of both ligaments.</div></div>\",\"PeriodicalId\":47827,\"journal\":{\"name\":\"Arthroscopy Techniques\",\"volume\":\"13 10\",\"pages\":\"Article 103067\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy Techniques\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2212628724001841\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2212628724001841","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
我们介绍了一种使用浅层股四头肌腱移植进行前交叉韧带（ACL）和前外侧韧带（ALL）联合重建的技术。通过股骨外隧道钻孔实现解剖重建。股骨钻孔导向器在关节内的位置是前交叉韧带的股骨足迹，在关节外的位置是股骨 ALL 连接处。这种手术技术不需要任何特殊器械，由 3 个骨隧道组成。以微创方式获取长而定制的股四头肌浅肌腱移植物，可以方便、低成本地重建两条韧带。
Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using the Superficial Layer Quadriceps Tendon Graft: Surgical Technique Description
We present a technique for the combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction using the superficial layer quadriceps tendon graft. Anatomic reconstruction is achieved with outside-in femoral tunnel drilling. The femoral drill guide has an intra-articular placement at the femoral footprint of the ACL and an extra-articular placement at the femoral ALL attachment. This surgical technique does not need any special instruments and consists of 3 bone tunnels. The long length and customized superficial quadriceps tendon graft is harvested in a minimally invasive manner and allows an accessible and low-cost reconstruction of both ligaments.
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