述评：股四头肌腱前交叉韧带重建术中联合外侧关节外肌腱固定术：旋转控制改善，但我们是否在重新定义失败？
简介
这篇评论文章聚焦于股四头肌腱自体移植物前交叉韧带重建（ACLR）中联合外侧关节外肌腱固定术（LET）的旋转控制效果。尽管腘绳肌腱ACLR联合LET已证实可降低年轻高风险患者的移植物失败率，但该获益能否延伸至股四头肌腱ACLR尚不明确，这对高风险运动员的移植物选择具有重要临床指导意义。
英文摘要
Persistent rotational instability following anterior cruciate ligament reconstruction (ACLR) remains one of the greatest unresolved challenges in modern sports medicine, particularly in young athletes returning to cutting and pivoting sports. Although contemporary ACLR techniques frequently provide excellent subjective outcomes, residual rotatory laxity continues to be associated with graft failure, revision surgery, and failure to return to preinjury athletic performance. Against this background, lateral extra-articular tenodesis has experienced a substantial resurgence as an adjunct procedure aimed at improving rotational control. High-level evidence in young, high-risk patients undergoing hamstring autograft ACLR has showed that lateral extra-articular tenodesis augmentation reduced graft rupture rates and persistent rotatory laxity. As the use of quadriceps tendon autograft continues to increase, it is increasingly important to determine whether the benefits observed with hamstring ACLR extend to quadriceps tendon ACLR. This evolving evidence base has significant implications for graft choice and outcomes in high-risk athletic populations.