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学科主题: 临床医学
题名:
How to avoid the risk of intraoperative cartilage damage in anatomic four tunnel double bundle anterior cruciate ligament reconstruction
作者: Siebold, Rainer1; Benetos, Ioannis S.2; Sartory, Nico1; He, Zhenming3; Hariri, Nawid1; Paessler, Hans H.1
关键词: Anterior cruciate ligament ; Double bundle ; Articular cartilage damage ; Pitfalls ; Operative technique ; Anteromedial portal technique ; Tibial drilling
刊名: KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
发表日期: 2010
DOI: 10.1007/s00167-009-0967-x
卷: 18, 期:1, 页:64-67
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Orthopedics ; Sport Sciences ; Surgery
研究领域[WOS]: Orthopedics ; Sport Sciences ; Surgery
关键词[WOS]: ANTEROMEDIAL PORTAL TECHNIQUE ; POSTEROLATERAL FIBER-BUNDLES ; HAMSTRING TENDON ; ACL RECONSTRUCTION ; PART 1 ; ATTACHMENTS ; MORPHOMETRY ; INSERTIONS ; PLACEMENT ; PITFALLS
英文摘要:

Double bundle (DB) anterior cruciate ligament (ACL) reconstruction is technically demanding. In order to create four anatomical anteromedial (AM) and posterolateral (PL) bone tunnels many surgeons adopt new ways of tibial and femoral bone tunnel drilling. From surgical experience, these technical changes might increase the risk for intraoperative pitfalls. An intraoperative articular cartilage damage to the medial femoral condyle or the medial tibial plateau could be disastrous for the patient. It may be caused by an insufficient anteromedial portal technique for femoral AM and PL bone tunnel drilling or flat tibial AM or PL bone tunnel reaming. Potential pitfalls may be avoided by small modifications to the surgical technique. In this present technical note, a sequence of surgical steps are described, which may help to avoid articular cartilage damage to the medial femoral condyle and medial tibial plateau in anatomical four tunnel DB ACL reconstruction.

语种: 英语
WOS记录号: WOS:000273093100012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56890
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.KAT Accid Hosp, Kifisia 14561, Greece
2.Peking Univ, Hosp 3, Beijing 100083, Peoples R China
3.ATOS Hosp Heidelberg, Ctr Knee & Foot Surg, D-69115 Heidelberg, Germany

Recommended Citation:
Siebold, Rainer,Benetos, Ioannis S.,Sartory, Nico,et al. How to avoid the risk of intraoperative cartilage damage in anatomic four tunnel double bundle anterior cruciate ligament reconstruction[J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,2010,18(1):64-67.
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