联合ACL重建与经胫骨外侧半月板后根部撕裂修复中无隧道交汇风险：一项技术要点
简介
该研究介绍了一种在ACL重建同时行经胫骨隧道外侧半月板后根部撕裂修复的技术。关键发现是，通过调整胫骨隧道的位置和方向，可有效避免两条隧道在骨道内发生汇聚，从而降低手术复杂性和移植物损伤风险。临床意义在于，该技术简单、可重复，为需要同时处理ACL损伤和外侧半月板后根部撕裂的患者提供了一种安全、可靠的修复方案，有助于改善膝关节稳定性和远期预后。
英文摘要
Lateral meniscus posterior root tears are frequently identified during anterior cruciate ligament reconstruction. These tears are associated with increased knee instability and altered biomechanics in knees deficient in the anterior cruciate ligament, leading to potential cartilage degeneration and compromised graft function if left untreated. Repairing lateral meniscus posterior root tears during anterior cruciate ligament reconstruction improves knee stability and biomechanics, while also yielding better patient-reported outcomes. The transtibial pullout technique is a popular and reliable method for repairing lateral meniscus posterior root tears. However, it poses a substantial risk of tibial tunnel convergence, which may complicate the surgery and compromise the clinical result. We describe a simple and reproducible technique that enables anatomic anterior cruciate ligament reconstruction and lateral meniscus posterior root tear repair with no risk of tibial tunnel convergence.