臨床整形外科55巻7号

2020年07月発行

臨床経験

固定用インプラントを使用しない鏡視下二重束前十字靱帯再建術—治療成績と文献的考察

著者： 大歳憲一¹² 加賀孝弘¹

所属機関： ¹福島県立医科大学スポーツ医学講座 ²おおとし消化器科整形外科

ページ範囲：P.855 - P.862

目的：固定用インプラントを使用しない鏡視下二重束前十字靱帯再建術の治療成績を報告すること

対象と方法：膝前十字靱帯損傷と診断された12名13膝を対象とした．再建靱帯は，両端に締結した高強度糸を大腿骨側，脛骨側の皮質骨上で締結し固定した．

結果：術後，自覚的・他覚的な膝関節不安定性は消失し，全例受傷前のスポーツに復帰した．

結語：本術式は，何らかの理由で固定用インプラントを使用できない症例や，インプラントによる合併症を呈した，もしくは合併症の発生が危惧される症例に対して有用な方法である．

参考文献

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