微创股四头肌腱切取技术用于前交叉韧带重建
简介
该研究介绍了一种用于前交叉韧带（ACL）重建的微创股四头肌腱自体移植物获取技术。研究对象为一名34岁、身高>5英尺（约152cm）的活跃女性左膝ACL撕裂患者。技术核心是使用QuadPro肌腱采集器进行微创取腱，并通过缝合器经内镜闭合供区缺损。关键发现：该技术再撕裂率低，重返运动率高，与现有文献结果一致。临床意义：股四头肌腱自体移植物具有与骨-髌腱-骨移植物…
英文摘要
BACKGROUND: Graft selection for anterior cruciate ligament (ACL) reconstruction (ACLR) remains a debated topic within the orthopaedic sports medicine community. While the bone-patellar tendon-bone autograft has been considered the gold standard, the quadriceps tendon autograft has gained popularity because of its similarly low failure rate and decreased donor-site morbidity. INDICATIONS: We present a case of an active 34-year-old woman with a left knee ACL tear. Using a quadriceps tendon autograft can be indicated when the patient is >5 feet tall and a substantial graft can be expected after harvest. TECHNIQUE DESCRIPTION: We present a reproducible, minimally invasive technique of harvesting a quadriceps tendon autograft using the QuadPro Tendon Harvester. We also demonstrate an effective method to close the donor site endoscopically using a suture passer. RESULTS: Using this technique, our clinical results align with the current literature, with low retear rates and a high return-to-sport rate. DISCUSSION/CONCLUSION: We present a reliable, minimally invasive technique to harvest the quadriceps tendon for ACLR. We discuss the technical pearls we have learned while performing this technique. PATIENT CONSENT DISCLOSURE STATEMENT: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.