选择合适的骨隧道点和走形; 若自体肌腱过小或取腱部位损伤,需要选择同种异体肌腱或人工韧带进行重建; 若采用自体腘绳肌腱进行关节镜下 ACL 重建术,肌腱直径宜大于 8 mm。
股骨侧的固定方式一般有悬吊钛板、界面钉、横穿钉等。 胫骨侧的固定方式一般有外口界面钉、内口界面钉加栓桩、悬吊钛板等。
股骨侧最常见的固定方式是悬吊钛板; 胫骨侧最常见的固定方式则为外口界面螺钉固定。
作者:Dr Chen
题图:站酷海洛
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