Двухэтапная ревизионная реконструкция передней крестообразной связки
DOI:
https://doi.org/10.52889/1684-9280-2022-4-65-42-49Ключевые слова:
колено, передняя крестообразная связка, реконструкция, ревизияАннотация
С ростом числа реконструкций передней крестообразной связки (ПКС) ревизионные реконструкции ПКС становятся все более распространенными. Может быть проведена ревизионная процедура для улучшения функции колена, устранения нестабильности и облегчения возвращения к нормальной деятельности. При выполнении ревизионной реконструкции хирург выбирает между одноэтапной или двухэтапной ревизией. Двухэтапные ревизии выполняются редко, но особенно полезны при значительном расширении туннеля, активной инфекции и сопутствующей патологии коленного сустава (например, неправильное расположение, другие повреждения связок, повреждения мениска или хондры). Среди этих потенциальных сценариев, требующих двухэтапной ревизии, наиболее распространенной причиной является расширение туннеля; первый этап включает удаление трансплантата, выскабливание туннеля и костную пластику, за которой следует ревизионная реконструкция ПКС на втором этапе.
Цель данного сообщения - рассмотреть предоперационное планирование, хирургические соображения, реабилитацию и результаты двухэтапных ревизионных реконструкций ПКС и обобщить современную литературу с изложением результатов лечения.
Библиографические ссылки
Ohly N.E., Murray I.R., Keating J.F Revision anterior cruciate ligament reconstruction: timing of surgery and the
incidence of meniscal tears and degenerative change. J Bone Joint Surg Br, 2007; 89: 1051–1054.
van Eck C.F., Schkrohowsky J.G., Working Z.M., Irrgang J.J., Fu F.H. Prospective analysis of failure rate and predictors of
failure after anatomic anterior cruciate ligament reconstruction with allograft. Am J Sports Med, 2012; 40: 800–807.
Group M., Ding D.Y., Zhang A.L., Allen C.R., et al. Subsequent surgery after revision anterior cruciate ligament
reconstruction: rates and risk factors from a multicenter cohort. Am J Sports Med, 2017; 45: 2068–2076.
Erickson B.J., Cvetanovich G., Waliullah K., Khair M., et al. Two-stage revision anterior cruciate ligament reconstruction.
Orthopedics, 2016; 39: e456–e464.
Noyes F.R., Barber-Westin S.D. Anterior cruciate ligament revision reconstruction: results using a quadriceps tendon-patellar bone autograft. Am J Sports Med , 2006; 34: 553–564.
MARS Group. Descriptive epidemiology of the Multicenter ACL Revision Study (MARS) cohort. Am J Sports Med, 2010;
: 1979–1986.
Dye S.F. The future of anterior cruciate ligament restoration. Clin Orthop Relat Res, 1996; 325: 130–139.
Andernord D., Desai N., Bjornsson H., Ylander M., et al. Patient predictors of early revision surgery after anterior
cruciate ligament reconstruction: a cohort study of 16,930 patients with 2-year follow-up. Am J Sports Med, 2015; 43: 121–127.
Carson E.W., Anisko E.M., Restrepo C., Panariello R.A., et al. Revision anterior cruciate ligament reconstruction:
etiology of failures and clinical results. J Knee Surg, 2004; 17: 127–132.
Mayr R., Rosenberger R., Agraharam D., Smekal V., El Attal R. Revision anterior cruciate ligament reconstruction: an
update. Arch Orthop Trauma Surg, 2012; 132: 1299–1313.
Thomas N.P., Kankate R., Wandless F., Pandit H. Revision anterior cruciate ligament reconstruction using a 2-stage
technique with bone grafting of the tibial tunnel. Am J Sports Med, 2005; 33: 1701–1709.
Battaglia T.C., Miller M.D. Management of bony deficiency in revision anterior cruciate ligament reconstruction
using allograft bone dowels: surgical technique. Arthroscopy, 2005; 21: 767.
Wilson T.C., Kantaras A., Atay A., Johnson D.L. Tunnel enlargement after anterior cruciate ligament surgery. Am J
Sports Med, 2004; 32: 543–549.
Groves C., Chandramohan M., Chew C., Subedi N. Use of CT in the management of anterior cruciate ligament revision
surgery. Clin Radiol, 2013; 68: e552–e559.
Marchant M.H. Jr., Willimon S.C., Vinson E., Pietrobon R., et al. Comparison of plain radiography, computed
tomography, and magnetic resonance imaging in the evaluation of bone tunnel widening after anterior cruciate ligament
reconstruction. Knee Surg Sports Traumatol Arthrosc, 2010; 18: 1059–1064.
Bhatia S., Korth K., Van Thiel G.S., Frank R.M., et al. Effect of tibial tunnel diameter on femoral tunnel placement in
transtibial single bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2016; 24: 51–57.
Chahla J., Dean C.S., Cram T.R., Civitarese D., et al. Two-stage revision anterior cruciate ligament reconstruction:
bone grafting technique using an allograft bone matrix. Arthrosc Tech, 2016; 5: e189–e195.
Hofbauer M., Muller B., Murawski C.D., Baraga M., et al. Strategies for revision surgery after primary double-bundle
anterior cruciate ligament (ACL) reconstruction. Knee Surg Sports Traumatol Arthrosc, 2013; 21: 2072–2080.
Magnussen R.A., Debieux P., Benjamin B., Lustig S., et al. A CT-based classification of prior ACL femoral tunnel location
for planning revision ACL surgery. Knee Surg Sports Traumatol Arthrosc, 2012; 20: 1298–1306.
Brown C.H .Jr., Carson E.W. Revision anterior cruciate ligament surgery. Clin Sports Med, 1999; 18: 109–171.
Yoon K.H., Kim J.S., Park S.Y., Park S.E. One-stage revision anterior cruciate ligament reconstruction: results according
to preoperative bone tunnel diameter: five to fifteen-year follow-up. J Bone Joint Surg Am, 2018; 100: 993–1000.
Banwart J.C., Asher M.A., Hassanein R.S. Iliac crest bone graft harvest donor site morbidity. a statistical evaluation.
Spine (Phila Pa 1976), 1995; 20: 1055–1060.
Campbell D.G., Li P. Sterilization of HIV with irradiation: relevance to infected bone allografts. Aust N Z J Surg, 1999;
: 517–521.
Eagan M.J., McAllister D.R. Biology of allograft incorporation. Clin Sports Med, 2009; 28:203–214.
Islam A., Chapin K., Moore E., Ford J., et al. Gamma radiation sterilization reduces the high-cycle fatigue life of
allograft bone. Clin Orthop Relat Res, 2016; 474: 827–835.
Van de Pol G.J., Bonar F., Salmon L.J., et al. Supercritical carbon dioxide-sterilized bone allograft in the treatment
of tunnel defects in 2-stage revision anterior cruciate ligament reconstruction: a histologic evaluation. Arthroscopy, 2018; 34: 706–713.
Hing K.A., Revell P.A., Smith N., Buckland T. Effect of silicon level on rate, quality and progression of bone healing
within silicate-substituted porous hydroxyapatite scaffolds. Biomaterials, 2006; 27: 5014–5026.
Hing K.A., Wilson L.F., Buckland T. Comparative performance of three ceramic bone graft substitutes. Spine J, 2007;
: 475–490.
Jenis L.G., Banco R J. Efficacy of silicate-substituted calcium phosphate ceramic in posterolateral instrumented
lumbar fusion. Spine (Phila Pa 1976), 2010; 35: E1058–E1063.
Lerner T., Liljenqvist U. Silicate-substituted calcium phosphate as a bone graft substitute in surgery for adolescent
idiopathic scoliosis. Eur Spine J, 2013; 22(Suppl 2): S185–S194.
von Recum J., Schwaab J., Guehring T., Grutzner P.A., Schnetzke M. Bone incorporation of silicate-substituted calcium
phosphate in 2-stage revision anterior cruciate ligament reconstruction: a histologic and radiographic study. Arthroscopy,
; 33: 819–827.
Diamantopoulos A.P., Lorbach O., Paessler H.H. Anterior cruciate ligament revision reconstruction: results in 107
patients. Am J Sports Med, 2008; 36: 851–860.
Franceschi F., Papalia R., Del Buono A., Zampogna B., et al. Two-stage procedure in anterior cruciate ligament
revision surgery: a five-year follow-up prospective study. Int Orthop, 2013; 37: 1369–1374.
Uchida R., Toritsuka Y., Mae T., Kusano M., Ohzono K. Healing of tibial bone tunnels after bone grafting for staged
revision anterior cruciate ligament surgery: a prospective computed tomography analysis. Knee, 2016; 23: 830–836.
MARS Group. Effect of graft choice on the outcome of revision anterior cruciate ligament reconstruction in the
Multicenter ACL Revision Study (MARS) Cohort. Am J Sports Med, 2014; 42: 2301–2310.
Noyes F.R., Barber-Westin S.D., Roberts C.S. Use of allografts after failed treatment of rupture of the anterior cruciate
ligament. J Bone Joint Surg Am, 1994; 76: 1019–1031.
Richter D.L., Werner B.C., Miller M.D. Surgical pearls in revision anterior cruciate ligament surgery: when must I
stage? Clin Sports Med, 2017; 36: 173–187.
Trojani C., Beaufils P., Burdin G., Bussiere C., et al. Revision ACL reconstruction: influence of a lateral tenodesis. Knee
Surg Sports Traumatol Arthrosc, 2012; 20:1565–1570.
Louis M.L., D'Ingrado P., Ehkirch F.P., Bertiaux S., et al. Combined intra- and extra-articular grafting for revision ACL
reconstruction: a multicentre study by the French Arthroscopy Society (SFA). Orthop Traumatol Surg Res, 2017; 103: S223–
S2S9.
Lee D.W., Kim JG., Cho S.I., Kim D.H. Clinical outcomes of isolated revision anterior cruciate ligament reconstruction or
in combination with anatomic anterolateral ligament reconstruction. Am J Sports Med, 2019; 47: 324–333.
Chmielewski T.L., Hurd W.J., Rudolph K.S., Axe M.J., Snyder-Mackler L. Perturbation training improves knee kinematics
and reduces muscle cocontraction after complete unilateral anterior cruciate ligament rupture. Phys Ther, 2005; 85: 740–749.
Mitchell J.J., Chahla J., Dean C.S., Cinque M., et al. Outcomes after 1-stage versus 2-stage revision anterior cruciate
ligament reconstruction. Am J Sports Med, 2017; 45: 1790–1798.
Diermeier T., Herbst E., Braun S., Saracuz E., et al. Outcomes after bone grafting in patients with and without ACL
revision surgery: a retrospective study. BMC Musculoskelet Disord, 2018; 19: 246.
Загрузки
Опубликован
Выпуск
Раздел
Лицензия
Это произведение доступно по лицензии Creative Commons «Attribution» («Атрибуция») 4.0 Всемирная.
