摘要: |
前交叉韧带撕裂是临床常见的损伤,其重建手术历经数十年的发展已经达到非常成熟的水平,单束重建、双束重建均有良好的临床效果。但随着病例的积累,前交叉韧带重建术后旋转不稳定和轴移试验阳性问题越来越受到关注,前外侧结构的联合重建成为解决这个问题的有效方法。本文综述了前外侧结构的解剖学研究、类等长点研究及前交叉韧带和前外侧结构联合重建的手术指征、手术方法等。 |
关键词: 前交叉韧带 前外侧结构 前外侧韧带 重建 |
DOI:10.16781/j.CN31-2187/R.20210553 |
投稿时间:2021-05-30修订日期:2021-10-25 |
基金项目:军事医学创新工程专项(16CXZ011). |
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Anterior cruciate ligament combined with anterolateral structure reconstruction: research progress |
YAO Gai,ZHOU Zhi-you,LIU Yang,WANG Zi-min* |
(Department of Osteoarthropathy, The First Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200433, China *Corresponding author) |
Abstract: |
Anterior cruciate ligament (ACL) rupture is a common injury, and ACL reconstruction has reached a very mature level over the past decades. Techniques including single-bundle and double-bundle reconstruction can achieve good clinical results. However, more attention has been paid to ACL combined with anterolateral structure (ALS) reconstruction for better control of rotational laxity and the pivot shift phenomenon. This paper reviews the studies of anatomy and isometry of ALS, and the surgical indications and techniques for combined ACL and ALS reconstruction. |
Key words: anterior cruciate ligament anterolateral structure anterolateral ligament reconstruction |