关节镜下使用单一股直肌自体移植物连续重建ACL-MCL联合后斜韧带重建：技术说明
简介
这是一篇技术说明：针对急性ACL、MCL及后斜韧带（POL）断裂，在关节镜下以单一股直肌腱自体移植物连续重建ACL和MCL，并用同种异体移植物重建POL。摘要称该移植物构造可减少多次自体肌腱切取、保留腘绳肌腱并降低骨道汇聚风险；但作为技术说明，未报告临床、影像学或二次关节镜随访结果。
英文摘要
Multiligament knee injuries are challenging to manage and often require harvesting multiple grafts. Rectus femoris tendon autograft provides predictable length and diameter, making it a promising option for anterior cruciate ligament (ACL) reconstruction and combined procedures. In this technical note, we describe an arthroscopic technique for combined reconstruction of the ACL and medial-sided structure-the medial collateral ligament (MCL) and posterior oblique ligament-in the setting of acute ACL, MCL and posterior oblique ligament rupture. A single rectus femoris autograft is used to reconstruct both ACL and MCL in a continuous fashion, whereas an allograft is used for posterior oblique ligament reconstruction. This technique offers an efficient graft construct for combined ACL and MCL reconstruction, minimizes the need for multiple autograft harvests, preserves the hamstring tendons, and reduces the risk of tunnel convergence.