骨骼未成熟青少年前交叉韧带断裂的手术治疗：采用患者特异性骨隧道和半腱肌自体移植物的双侧经骺板全内技术
简介
针对骨骺未闭青少年ACL断裂，该研究采用术前MRI个性化量化分析，结合全内经骺板重建技术，以股薄肌腱自体移植物制备患者特异性骨道。该方法在恢复ACL功能的同时，最大程度降低了骺板损伤风险，为青少年患者提供了安全有效的治疗选择。
英文摘要
In recent years, with the widespread participation in athletic activities, the incidence of anterior cruciate ligament (ACL) ruptures among adolescent populations has shown an increasing trend. Without timely intervention, this condition can lead to meniscal tears, accelerated articular cartilage wear, and early-onset osteoarthritis, severely compromising knee joint development and function. Due to the presence of open physis, standard ACL reconstruction techniques used in adults may jeopardize the physeal structure during tunnel preparation and graft placement, thereby interfering with normal lower limb growth and potentially resulting in limb length discrepancies or angular deformities. Therefore, this study adopts a personalized and precision treatment strategy, using preoperative magnetic resonance imaging (MRI) for systematic quantitative analysis of each patient's knee joint, combined with an all-inside transphyseal reconstruction technique. This approach aims to effectively restore ACL function while minimizing the risk of physeal injury. This image-based, patient-specific bone tunnel planning strategy is designed to protect the physeal integrity while addressing the biomechanical stability requirements of the knee, offering a safe and effective treatment option for adolescent patients.