ACL修复术的发展 •端端缝合(primarysuturing)•强化的端端缝合(augmentedprimary suturing)关节外加强(extracapsularprocedure)LAD •人工韧带 •生物组织移植物重建(biological tissuegraftreconstruction)ACL发病率(Incidence)•1/3000/年(U.S.A)•0.3-0.38/1000/年(Scandinavia&NorthAmerica)伤因 ...
reconstructionhamstring tendonsgraft fixationoperative techniqueANTERIOR CRUCIATE LIGAMENTPATELLAR TENDONBONE TUNNELFOLLOW-UPAUTOGENOUS SEMITENDINOSUSACL reconstruction using autogenous semi-tendinosus and gracilis tendons has become more popular in the past, mainly because of less frequent donor site morbidity and...
ACL解剖单束重建ACLReconstruction什么叫解剖重建•恢复解剖是外科的不断追求•所谓解剖重建:在原始止点上重建–而不是依靠公式与理论–使用合适的器械助你达成目标第一步:体位与入路要求病人体位•病人仰卧位•可选择性的应用止血带•保证术中屈曲120度以上入路要求•AL(前外)和AM(前内)关节镜入路要足够近...
重建材料graft□自体组织autograft手术目的 purposeofsurgery※重建膝关节的稳定性;※改善功能,希望防止、延缓和减轻继发损伤。Reconstructstabilityofknee宁波市第九医院康复医学科手术目的 purposeofsurgery※重建膝ACLSemi-T准备(视教)ACL重建的外科技术 SurgicalTechniqueofACLReconstruction...
目的:回顾研究患者的临床资料及回访记录,对比分析膝关节ACL重建中TightRope与Endobutton-Interference screw两种固定方式手术方法的近期临床疗效,为前交叉韧带重建中固定方式的选择提供临床依据. 方法:回顾研究成都中医药大学附属医院2013年1月到2015年1月间骨科诊断为前交叉韧带Ⅲ度损伤并行关节镜下ACL重建术的患者38例.A组...
(视教) ACL重建的外科技术 Surgical Technique of ACL Reconstruction 宁波市第九医院康复医学科 ACL Semi-T植入固定(实例) ACL重建的外科技术 Surgical Technique of ACL Reconstruction 宁波市第九医院康复医学科 Endobutton 技术重建ACL ACL reconstruction with Endobutton 宁波市第九医院康复医学科 术中、术后并发症...
(点式或肘式),定位导针 4)胫骨端钻取隧道——胫骨钻头 5)股骨端定位——OFFSET瞄准器,带尾空导针 6)股骨端钻取隧道——镜下钻头,ENDOBUTTON钻,测深尺 7)移植物传递——带尾孔导针 8)移植物固定——螺丝批 * * * * * * ACL Reconstruction ACL介绍 起点:股骨外髁髁间凹面的后内侧部分 止点:胫骨髁...
The ACL reconstruction is frequently torn and requires reconstruction due to the location of the ligament. Dr. Tarlow teaches you what you need to know about knee surgery.
All 14 others had concomitant ACL reconstruction and Oxford hemiarthroplasty. Surgery proceeded as follows 1.Arthroscopic evaluation, autogenous hamstring harvest with graft preparation, 2. ACL tunnel creation, (anteromedial portal for femoral tunnel), graft passage and femoral fixation with Endobutton 3....
CONCLUSIONS:Patients who underwent ACL reconstruction using the peroneus longus tendon experienced faster knee rehabilitation and less donor-site morbidity, such as thigh hypotrophy and knee pain. The peroneus longus tendon, with its larger diameter, fewer graft-related complications, and similar knee sc...