대한관절경학회지 (Journal of the Korean Arthroscopy Society)

대한관절경학회 (Korean Arthroscopy Society)
권호 표지

경골 종지부를 분리하지 않은 자가슬괵건을 이용한 관절경적 전방십자인대 재건술

Arthroscopic Anterior Cruciate Ligament Reconstruction Using Autogenous Hamstring Tendon Graft Without Detachment of the Tibial Insertion

  • 김성재 (연세대학교 의과대학 정형외과학교실) ;
  • 이윤태 (연세대학교 의과대학 정형외과학교실) ;
  • 김현곤 (안양 중앙병원 정형외과)
  • Kim Sung-Jae (Department of Orthopaedic Surgery, Yonsei University College of Medicine) ;
  • Lee Yun-Tae (Department of Orthopaedic Surgery, Yonsei University College of Medicine) ;
  • Kim Hyun-Kon (Deportment of Orthopaedic Surgery, Ahnyang Medical Center Hospital)
  • 발행 : 1997.06.01
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초록

This article describes a modified arthroscopic technique of anterior cruciate ligament (ACL) reconstruction using quadrupled hamstring tendon graft. The autogenous semitendinosus and gracilis grafts are harvested without detachment of the tibial insertion. To obtain longer graft, the accessory tibial insertions of the hamstring tendons are dissected. The EndoButton(Acupex Microsurgical, Andover, MA) is used for femoral fixation and two spiked staples are used for tibial fixation in a belt buckle fashion. Then the residual anterior laxity is restored by additional absorbable interference screw fixations. In this technique. more viable graft is obtained and firmer distal fixation is achieved by preservation of the tibial insertion of hamstring tendons.

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