经胫骨隧道使用合成移植物联合残端修复的前交叉韧带重建：一种混合技术
简介
本文介绍了一种混合关节镜技术，采用经胫骨隧道入路，将合成韧带重建前交叉韧带与残端修复相结合。该技术通过保留并缝合ACL残端形成袖套样结构包裹移植物，旨在提供即时机械稳定性的同时，保留血供及神经机械感受器，以促进生物整合与本体感觉恢复。
英文摘要
The purpose of this technical note is to describe a hybrid arthroscopic technique that combines anterior cruciate ligament reconstruction using a synthetic graft with concomitant remnant repair. Following diagnostic arthroscopy and assessment of remnant quality, tibial and femoral tunnels are created using a transtibial approach with attention to graft isometry. Anterior cruciate ligament remnant fibers are selectively preserved and repaired using a cinch-loop suture followed by an additional encircling stitch to form a sleeve-like construct. A synthetic ligament is then passed through the prepared tunnels, and the repaired remnant is cofixed with the synthetic graft on the femoral side, allowing the remnant to envelop the graft. This technique provides immediate mechanical stability while preserving vascularized native tissue and neuromechanical elements that may support biological integration and proprioceptive preservation.