关节镜单束重建前交叉韧带股骨隧道定位选择的进展

Progress in the Selection of Femoral Tunnel Location for Arthroscopic Single-Bundle Reconstruction of the Anterior Cruciate Ligament

摘要: 随着国家经济的发展，人们的生活水平得到明显的提升，运动需求变得尤为突出，随之而来的便是运动损伤。膝关节前交叉韧带断裂是较为常见的运动损伤，治疗手段以关节镜下单束韧带重建为主。前交叉韧带重建术的关键因素包括：移植物种类的选择、移植物的直径、骨隧道的定位、移植物的固定方式等。其中骨隧道定位尤为重要，包括股骨隧道及胫骨隧道。单束重建前交叉韧带时，股骨隧道定位的选择随着前交叉韧带的解剖和生物力学研究的不断深入出现了多种不同理念，每种理念都有自身的理论依据、优势及不足。本文就关节镜下前交叉韧带单束重建术中股骨隧道定位选择的进展做一综述，以期对手术方式选择提供参考。

Abstract: With the development of national economy, people’s living standards have been significantly im-proved. Sports needs become particularly prominent, followed by sports injuries. Anterior cruciate ligament (ACL) rupture is a common sports injury. Arthroscopic single-bundle ligament recon-struction is the main treatment for ACL rupture. The key factors of anterior cruciate ligament re-construction include: the choice of graft type, the diameter of graft, the location of bone tunnel, and the fixation of graft. Among them, the positioning of bone tunnels is particularly important, including femoral tunnels and tibial tunnels. With the development of the anatomy and biome-chanics of anterior cruciate ligament, a variety of preparation methods have been developed for the selection of femoral tunnel positioning in single-bundle anterior cruciate ligament reconstruction. Each method has its own theoretical basis, advantages and disadvantages. This article reviews the progress in the selection of femoral tunnel location in arthroscopic single-bundle anterior cruciate ligament reconstruction, in order to provide reference for the selection of surgical methods.