关键词: ACL reconstruction Anterior cruciate ligament Autograft Graft configuration Hamstrings

来  源:   DOI:10.1007/s00402-024-05412-4

Abstract:
Anterior cruciate ligament reconstruction (ACLR) is one of the most common orthopedic procedures, and huge variation exists in the surgical technique. Single bundle hamstrings autograft reconstruction is a common method and has good clinical outcomes. A criticism of the hamstrings autograft is a small graft diameter, often less than 8-mm, which has been associated with increased re-rupture rates. Several graft preparation techniques for single bundle hamstrings autograft exist. Perioperative decisions include the number of tendons utilized, number of graft strands, graft configuration, and femoral and tibial fixation methods. Awareness of the minimum tendon and graft length required to produce each graft variation is necessary to avoid common pitfalls. However, intraoperative graft modification is possible to maximize graft diameter, and obtain proper fixation. The objective of this current concepts review is to describe the indications, surgical anatomy, technique, intraoperative tips, clinical outcomes, and complications for single bundle hamstrings autograft preparation techniques in ACLR.
摘要:
前交叉韧带重建术(ACLR)是最常见的矫形手术之一,手术技术存在巨大差异。单束绳肌腱自体移植是一种常见的方法,具有良好的临床效果。对自体腿筋移植物的批评是移植物直径小,通常小于8毫米,这与再破裂率的增加有关。存在几种用于单束绳肌腱自体移植的移植物制备技术。围手术期的决定包括使用的肌腱数量,移植股数,移植物构型,股骨和胫骨固定方法。必须意识到产生每个移植物变异所需的最小肌腱和移植物长度,以避免常见的陷阱。然而,术中移植是可能的,以最大限度地扩大移植物直径,并获得适当的固定。当前概念审查的目的是描述适应症,外科解剖学,技术,术中提示,临床结果,ACLR中单束腿筋自体移植准备技术的并发症。
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