While anterior cruciate ligament reconstruction using the iliotibial band is not a new technique, it still remains underdeveloped. The iliotibial band has historically been described as a thin and less resistant structure. Its harvesting has been associated with a risk of complications (hematoma, muscle hernia) and its small graft diameter increases the risk of rerupture. The addition of the gracilis tendon could potentially produce a graft with an increased diameter. In this technical note, we present a modification to the traditional technique performed on 50 patients, describing the surgical steps, graft diameter, clinical outcomes and complications at the 2-year follow-up. The mean graft diameter was 8.9 ± 0.9 mm at the femur and 7.7 ± 0.7 mm at the tibia. No rerupture was reported at the 2-year follow-up.

Level of evidence

IV.

中文翻译：

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前交叉韧带关节镜重建和外侧肌腱固定术与髂胫束和股薄肌腱：技术说明

虽然使用髂胫束重建前交叉韧带并不是一项新技术，但仍处于不发达状态。髂胫束在历史上被描述为薄且阻力较小的结构。它的收获与并发症（血肿、肌肉疝）的风险有关，并且其小的移植物直径增加了再破裂的风险。添加股薄肌腱可能会产生直径增加的移植物。在本技术说明中，我们介绍了对 50 名患者进行的传统技术的修改，描述了手术步骤、移植物直径、临床结果和 2 年随访时的并发症。股骨处的平均移植物直径为 8.9  ±  0.9 mm，股骨处的平均移植物直径为 7.7  ± 胫骨处 0.7 毫米。在 2 年的随访中没有再破裂的报告。

证据等级

四、