关节镜下全骨骺纽扣与锚钉技术联合胶原基植入物前交叉韧带修复术
简介
本文介绍了一种改良的全关节镜下全骨骺ACL修复技术，适用于骨骼未成熟患者，使用BEAR（桥接增强ACL修复）胶原植入物。该技术通过胫骨近端骨骺的纽扣和股骨外侧骨骺的关节外无结锚钉固定修复缝线，避免了骨骺损伤，并利用关节镜引导的钝头注射器植入移植物，无需前内侧关节切开术。这一方法为青少年ACL损伤提供了保留骨骺的微创修复方案。
英文摘要
We describe a modified technique for anterior cruciate ligament (ACL) repair in skeletally immature patients with the bridge-enhanced ACL restoration (BEAR) implant (Miach Orthopaedics) utilizing an arthroscopic, all-epiphyseal approach. This technique uses a button on the proximal tibial epiphysis and an extra-articular knotless anchor on the lateral femoral epiphysis to hold the ACL repair sutures and ACL seatbelt sutures. The all-epiphyseal approach is advantageous for BEAR in skeletally immature patients, preserving the physis and minimizing potential complications. Additionally, this technique facilitates delivery of the BEAR implant by blunt tip syringe under arthroscopic guidance, eliminating the anteromedial arthrotomy for manual implant insertion.