Revision after Anterior Cruciate Ligament Reconstruction by Restoration of the Posterolateral Bundle

被引：3

作者：

Brucker, Peter U. ^{[1
]}

Zelle, Boris A. ^{[1
]}

Fu, Freddie H. ^{[1
]}

机构：

[1] Univ Pittsburgh, Sch Med, Dept Orthopaed Surg, Pittsburgh, PA 15261 USA

来源：

OPERATIVE TECHNIQUES IN ORTHOPAEDICS | 2005年 / 15卷 / 02期

关键词：

anterior cruciate ligament; revision; reconstruction; anteromedial bundle; posterolateral bundle; arthroscopy;

D O I：

10.1053/j.oto.2004.11.015

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Recurrent instability after primary single-bundle anterior cruciate ligament (ACL) reconstruction is predominantly caused by technical errors. Delayed biological incorporation and traumatic reinjury represent other factors of ACL graft failure. However, there are patients with an intact single-bundle ACL graft complaining of recurrent instability where imaging studies lack inappropriate positioning of the tunnels and other technical errors. This recurrent instability may be caused by an incomplete restoration of the native ACL because biomechanical studies have shown only partial restoration of normal kinematics in single-bundle ACL reconstruction. We present 2 cases of recurrent instability after primary single-bundle ACL reconstruction that demonstrated an intact ACL graft. We performed an augmentation of the intact ACL graft representing the anteromedial bundle by reconstruction of the posterolateral bundle. This novel technique may address a (partially) recurrent instability after primary ACL reconstruction. Oper Tech Orthop 15: 146-150 (C) 2005 Elsevier Inc. All rights reserved.

引用

页码：146 / 150

页数：5

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