Anterior cruciate ligament reconstruction with fascia lata using a minimally invasive arthroscopic harvesting technique - 02/02/13
Summary |
Anterior cruciate ligament (ACL) reconstruction using the fascia lata has undergone a number of technical modifications since the work of Hey-Groves, MacIntosh, and Jaeger. Arthroscopy has simplified this technique, notably in the positioning of the tunnels. Minimally invasive harvesting through two lateral proximal and distal approaches considerably reduces cosmetic problems. The femoral tunnel is made from the outside to the inside using a specific targeting device, and the transplant harvest site is closed using the Jaeger procedure so as not to weaken lateral knee stabilizing structures. This procedure consists in opening the lateral intermuscular septum 1cm from the femur to let it shift laterally and allow the transplant harvesting area to be closed. This technique uses a fascia lata transplant, the harvesting of which has shown few iatrogenous complications but requires rigorous adherence to certain rules.
Le texte complet de cet article est disponible en PDF.Keywords : Anterior cruciate ligament, Ligament reconstruction, Fascia lata, Arthroscopy, Minimally invasive surgery
Plan
Vol 99 - N° 1
P. 99-105 - février 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.