All-Inside Anterior Cruciate Ligament Graft-Link Technique: Second-Generation, No-Incision Anterior Cruciate Ligament Reconstruction

被引：204

作者：

Lubowitz, James H. ^{[1
]}

Amhad, Christopher H. ^{[2
]}

Anderson, Kyle ^{[3
]}

机构：

[1] Taos Orthopaed Inst Res Fdn, Taos, NM 87571 USA

[2] Columbia Univ, New York, NY USA

[3] William Beaumont Hosp, Royal Oak, MI 48072 USA

来源：

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2011年 / 27卷 / 05期

关键词：

ANTEROMEDIAL PORTAL TECHNIQUE; POSTEROLATERAL BUNDLES; TUNNEL PLACEMENT; LENGTH; MORPHOMETRY; INSERTIONS; POSITION;

D O I：

10.1016/j.arthro.2011.02.008

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：

100224 [整形外科学];

摘要：

We describe an anatomic, single-bundle, all-inside anterior cruciate ligament (ACL) graft-link technique using second-generation Flipcutter guide pins (Arthrex, Naples, FL), which become retrograde drills, and second-generation cortical suspensory fixation devices with adjustable graft loop length: femoral TightRope (Arthrex) and tibial ACL TightRope-Reverse Tension (Arthrex). The technique is minimally invasive using only four 4-mm stab incisions. Graft choice is no-incision allograft or gracilis-sparing, posteriorly harvested semitendinosus material. The graft is sutured 4 times through each strand in a loop and linked, like a chain, to femoral and tibial adjustable TightRope graft loops. With this method, graft tension can be increased even after graft fixation. The technique may be modified for double-bundle ACL reconstruction.

引用

页码：717 / 727

页数：11

共 32 条

[1]

Femoral Tunnel Placement During Anterior Cruciate Ligament Reconstruction An In Vivo Imaging Analysis Comparing Transtibial and 2-Incision Tibial Tunnel-Independent Techniques [J].