A new double-bundle anterior cruciate ligament reconstruction using the posteromedial portal technique with hamstrings

被引：31

作者：

Hara, K

Arai, Y

Ohta, M

Minami, G

Urade, H

Hirai, N

Watanabe, N

Kubo, T

机构：

[1] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Orthopaed, Kamigyo Ku, Kyoto 6028566, Japan

[2] Social Insurance Kyoto Hosp, Dept Orthopaed, Kyoto, Japan

来源：

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2005年 / 21卷 / 10期

关键词：

anterior cruciate ligament; double bundle; posteromedial portal;

D O I：

10.1016/j.arthro.2005.07.013

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：

We describe a new double-bundle reconstruction method for ruptured anterior cruciate ligament using a posteromedial portal technique. Reconstruction materials are semitendinosus tendon (STT) and gracilis tendon (GT). STT is used as the substitute for the anteromedial bundle (AMB) and fixed to the tunnels produced on the tibia and the femur. GT is used as the substitute for the posterolateral bundle (PLB) and fixed to the tunnels on the tibia and the femur. This femoral tunnel for the PLB is created through a posteromedial portal. These procedures are performed using the inside-out technique. The posteromedial portal provides an accurate access to the femoral attachment of the PLB. This surgical technique can avoid overlapping of the 2 femoral tunnels and destruction of the posterior cortex of the lateral condyle on the femur during the preparation of the PLB. Our technique does not need another tibial tunnel for the PLB; the I tibial tunnel enables double-bundle reconstruction and prevents tibial tunnel expansion.

引用

页码：1274 / 1274

页数：1

共 18 条

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