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前交叉韧带重建联合髂胫束股骨压配固定外侧关节外腱固定术:一种低成本、可复制的技术

Arthroscopy techniques · 2026-Jul-25
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Rocha de Faria José Leonardo, Abreu Felipe Galvão, de Pádua Vitor Barion, de Oliveira Valdeci Manoel, de Paula Rafael Erthal, Cavalcanti Yuri Di et al.

简介

该文介绍一种低成本的ACL重建联合髂胫束外侧关节外腱固定术(LET),采用股骨压配固定,无需额外内固定物。该技术旨在增强旋转稳定性并保护关节内移植物,手术步骤简化、可重复性强,适合在资源有限或不同手术环境中推广。

英文摘要

The addition of a lateral extra-articular reinforcement to anterior cruciate ligament reconstruction has been shown to enhance rotational stability and protect the intra-articular graft. Although several techniques using the iliotibial band have been described, most rely on fixation devices that increase surgical cost and complexity. This Technical Note describes a low-cost, reproducible technique for combined anterior cruciate ligament reconstruction and lateral extra-articular tenodesis using the iliotibial band, with femoral press-fit fixation for both grafts. This approach eliminates the need for fixation hardware, simplifies the procedure, and may facilitate its adoption in a wide range of surgical settings worldwide.

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