最小化过度旋转不稳定技术（MERI技术）：一种简单的外侧肌腱固定术，重建髁束、Kaplan纤维远端及前外侧韧带股骨止点，以在ACL手术中控制内旋
简介
该文描述一种在ACL重建中控制内旋的微创外侧肌腱固定技术（MERI），采用1 cm宽阔筋膜条重建远端Kaplan纤维、condylar strap及前外侧韧带（ALL）股骨止点，并在ALL止点近端等长点以单枚锚钉固定，辅以连续锁边缝合及将阔筋膜闭合于锚钉。摘要未报告临床或生物力学结果，只提出该技术可能较传统外侧关节外肌腱固定限制性更小、在稳定性和灵活性之间取…
英文摘要
The Minimizing Excessive Rotational Instability technique is a simple and minimally invasive lateral tenodesis designed to enhance internal rotation control during anterior cruciate ligament reconstruction by reconstructing the distal Kaplan fibers, the condylar strap, and the femoral insertion of the anterolateral ligament. Using a 1-cm-wide fascia lata strip, the procedure involves fixation with a single anchor at an isometric point proximal to the anterolateral ligament insertion, followed by a continuous locking suture and fascia lata closure on the anchor, which further reinforces rotational stability without excessive constraint. Although possibly biomechanically less restrictive than traditional lateral extra-articular tenodesis, the Minimizing Excessive Rotational Instability technique strikes a balance between stability and flexibility, potentially reducing postoperative stiffness and morbidity. Its simplicity, cost-effectiveness, and minimal invasiveness make it a valuable alternative for addressing anterolateral instability in select anterior cruciate ligament reconstruction patients.