Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: Where Are We Today?
Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: Where Are We Today?
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DOI：
10.1016/j.arthro.2008.05.021
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发表时间：
2008-10-01
影响因子：
4.7
通讯作者：
Fu, Freddie H.
中科院分区：
文献类型：
--
作者：
Pombo, Mathew W.;Shen, Wei;Fu, Freddie H.
前交叉韧带（ACL）重建的解剖学入路已成为骨科的发展趋势。过去7年取得的进展使人们对ACL解剖结构及其2束有了更深入的了解。外科医生现在比以往任何时候都更有能力恢复原生解剖结构和膝关节运动学。匹兹堡大学的经验和技术已被描述，并已演变成包括几个关键原则。这些包括恢复自体ACL解剖结构、插入部位和双束张力模式，并利用辅助内侧入路提供个性化ACL重建方法。本技术说明旨在为外科医生提供ACL手术解剖入路的技术更新。本文的大部分内容将集中于解剖双束ACL重建，但必须强调的是，这是一个概念，而不仅仅是一种技术，应适用于所有ACL重建，以提供更解剖和个性化的结果。
The anatomic approach to anterior cruciate ligament (ACL) reconstruction has been a growing trend in orthopaedics. Progress made over the last 7 years has led to a greater understanding of the ACL anatomy and its 2 bundles. Surgeons are now more equipped to restore the native anatomy and knee kinematics than ever before. The University of Pittsburgh experience and technique have been described and have evolved to include several key principles. These include the restoration of native ACL anatomy, insertion sites, and double-bundle tension patterns with the utilization of an accessory medial portal to provide an individualized approach to ACL reconstruction. The purpose of this technical note is to provide surgeons with a technical update regarding the anatomic approach to ACL surgery. Most of this article will be focused on anatomic double-bundle ACL reconstruction, but it must be emphasized that this is a concept rather than just a technique and should be applied to all ACL reconstructions to provide a more anatomic and individualized result.