前交叉韧带重建术中简化髂胫束外侧关节外肌腱固定术：一种免用内固定物的方法
简介
该技术报告描述了一种改良Lemaire髂胫束外侧关节外肌腱固定术（LET），在ACL重建中将髂胫束瓣直接固定于股骨侧缝线纽扣上，无需额外骨道或内固定物。该方法可降低骨道汇聚风险、减少金属固定物引起的术后刺激，并在等长区提供牢固固定。
英文摘要
The addition of a lateral extra-articular tenodesis to anterior cruciate ligament reconstruction has been shown to reduce graft failure and improve rotational stability, but current fixation methods often require additional tunnels or hardware, with risks of tunnel convergence, irritation, and hardware removal. This technical paper describes a modified Lemaire lateral extra-articular tenodesis technique in which the iliotibial band flap is secured directly to the femoral suture button of the anterior cruciate ligament graft, thereby avoiding additional fixation devices. This technique minimizes the risk of tunnel convergence, leaves a smoother lateral condylar surface, and reduces postoperative irritation associated with metallic fixation, while providing strong fixation in the isometric zone.