Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel
Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel
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DOI：
10.1016/j.eats.2018.10.016
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发表时间：
2019-03-01
影响因子：
1.2
通讯作者：
Takaso, Masashi
中科院分区：
文献类型：
--
作者：
Higashiyama, Reiji;Aikawa, Jun;Takaso, Masashi
踝关节扭伤是与体育活动相关的最常见的下肢损伤。尽管韧带修复技术很流行，但当韧带残余强度不够、高要求的运动员重复踝关节扭伤或修复后翻修时，可以考虑使用游离肌腱的重建方法。最近，已经报道了一些关节镜重建技术。腓骨远端较细；因此，外科医生在钻腓骨隧道时必须小心。本报告指出了在前距腓韧带和跟腓韧带的解剖关节镜重建过程中安全创建解剖腓骨隧道的方法。这还使用 2 股肌腱移植物作为前距腓韧带替代物提供了更强的重建，这被认为术后移植物失败的风险较小。
Ankle sprains are the most common lower extremity injuries associated with sports activity. Although ligament repair techniques are popular, reconstruction methods using free tendons are considered when the ligament remnant is insufficiently strong, when high-demand athletes sustain repeat ankle sprains, or in revision cases after repair. Recently, some arthroscopic reconstruction techniques have been reported. The distal fibular end is thin; therefore, surgeons must be careful while drilling the fibular tunnel. This report indicates the safe creation method of an anatomical fibular tunnel during anatomical arthroscopic reconstruction of the anterior talofibular ligament and calcaneofibular ligament. This also provides a stronger reconstruction using a 2-strand tendon graft for the anterior talofibular ligament substitute, which is thought to have less risk for postoperative graft failure.