Combined over-the-top reconstruction with posterolateral bundle remnant re-tensioning in pediatric anterior cruciate ligament reconstruction: A technical note

被引：1

作者：

Kamei, Goki ^{[1
,3
]}

Nakata, Kyohei ^{[1
]}

Nekomoto, Akinori ^{[1
]}

Hashiguchi, Naofumi ^{[1
]}

Tsuji, Shunya ^{[1
]}

Ishikawa, Masakazu ^{[2
]}

Nakamae, Atsuo ^{[1
]}

Adachi, Nobuo ^{[1
]}

机构：

[1] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Dept Orthopaed Surg, Hiroshima, Japan

[2] Kagawa Univ, Fac Med, Dept Orthopaed Surg, Takamatsu, Kagawa, Japan

[3] 1 Kasumi,Minami Ku, Hiroshima, Japan

来源：

ASIA-PACIFIC JOURNAL OF SPORT MEDICINE ARTHROSCOPY REHABILITATION AND TECHNOLOGY | 2024年 / 36卷

关键词：

Anterior cruciate ligament reconstruction; Pediatric; Remnant; SKELETALLY IMMATURE PATIENTS; CLINICAL-OUTCOMES; GRAFT;

D O I：

10.1016/j.asmart.2024.01.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Epiphyseal injury, particular on femoral side, is a major concern in pediatric anterior cruciate ligament (ACL) reconstruction. Therefore, the over-the-top route (OTTR) method has frequently been selected in pediatric ACL reconstruction, with good clinical results reported. However, a cadaver study reported the inferior rotational stability of the OTTR method to that of anatomical single bundle reconstruction. In recent years, a new method of reconstruction, which involves the remnant being detached, re-tensioned, and re-attached, achieved good shortterm results. We developed a surgical method to restore the remnant to the posterolateral (PL) bundle footprint and obtain rotational stability in patients, thereby preserving the remnant. We hypothesized that repairing the residual remnant to the PL bundle footprint in pediatric ACL reconstruction could achieve rotational stability. This report offers the surgical techniques for PL bundle tensioning repair using remnants in the pediatric ACL OTTR procedure.

引用

页码：24 / 27

页数：4

共 22 条

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