Research progress of internal tension relieving technique in assisting anterior cruciate ligament reconstruction_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XU Fei ^1,2 ,  LI Yanling ^1,2 , WANG Guoliang ^1,2 , LIU Dejian ^1,2

1. Kunming Medical University, Kunming Yunnan, 650000, P.R.China;
2. Department of Sports Medicine, the First Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650032, P.R.China;

Corresponding?author：

LI Yanling, Email: 852387873@qq.com

Keywords：

Arthroscopy; anterior cruciate ligament; reconstruction; internal tension relieving technique; internal bracing

DOI：

10.7507/1002-1892.202106080

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To review the research progress of internal tension relieving technique in assisting anterior cruciate ligament (ACL) reconstruction with tendon grafts. Methods The in vivo and in vitro biomechanical tests, animal experiments, and clinical studies on the use of internal tensioning relieving technique assisted ACL reconstruction in recent years were extensively reviewed, the impact of this technology on the biomechanics, histological changes of grafts, and the clinical effectiveness were analyzed and summarized. Results The internal tensioning relieving technique based on non-absorbable high-strength sutures can reduce the risk of relaxation and rupture by enhancing the biomechanical strength of tendon grafts in vitro and in vivo, it shows good biocompatibility and support for the ligamentation of the tendon grafts and the establishment of the direct tendon-bone interface in terms of histology. This technique improves postoperative initial joint stability, range of motion, and functional scores in clinical practic, when combining with the enhanced recovery after surgery can effectively promote patients to return to pre-injury exercise level without serious complications. Conclusion The preliminary research results have confirmed the efficacy and safety of the internal tension relieving technique on assisting ACL reconstruction, then showes some degree of significance and prospect, but more research is needed to further optimize tension-relieving devices and related surgical techniques, and clarify the specific effects of this technique on graft’s structure remodeling, biomechanical function, and long-term clinical results.

Citation： XU Fei, LI Yanling, WANG Guoliang, LIU Dejian. Research progress of internal tension relieving technique in assisting anterior cruciate ligament reconstruction. Chinese Journal of Reparative and Reconstructive Surgery, 2021, 35(12): 1630-1636. doi: 10.7507/1002-1892.202106080 Copy

1.	Knurr KA, Kliethermes SA, Stiffler-Joachim MR, et al. Running biomechanics before injury and 1 year after anterior cruciate ligament reconstruction in division Ⅰ collegiate athletes. Am J Sports Med, 2021, 49(10): 2607-2614.
2.	Zebis MK, Aagaard P, Andersen LL, et al. First-time anterior cruciate ligament injury in adolescent female elite athletes: a prospective cohort study to identify modifiable risk factors. Knee Surg Sports Traumatol Arthrosc, 2021. doi: 10.1007/s00167-021-06595-8.
3.	Kohn L, Rembeck E, Rauch A. Anterior cruciate ligament injury in adults: Diagnostics and treatment. Orthopade, 2020, 49(11): 1013-1028.
4.	陳天午, 陳世益. 人工韌帶用于前交叉韌帶修復重建: 目前產品與經驗. 中國修復重建外科雜志, 2020, 34(1): 1-9.
5.	Arnold MP, Calcei JG, Vogel N, et al. ACL Study Group survey reveals the evolution of anterior cruciate ligament reconstruction graft choice over the past three decades. Knee Surg Sports Traumatol Arthrosc, 2021. doi: 10.1007/s00167-021-06443-9.
6.	Vopat BG, Gross DJ, Wong J, et al. Terminal sterilization of anterior cruciate ligament (ACL) allografts: A systematic review of outcomes. Kans J Med, 2020, 13: 23-28.
7.	Hulet C, Sonnery-Cottet B, Stevenson C, et al. The use of allograft tendons in primary ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2019, 27(6): 1754-1770.
8.	Rahardja R, Zhu M, Love H, et al. Rates of revision and surgeon-reported graft rupture following ACL reconstruction: early results from the New Zealand ACL Registry. Knee Surg Sports Traumatol Arthrosc, 2020, 28(7): 2194-2202.
9.	Law MA, Ko YA, Miller AL, et al. Age, rehabilitation and surgery characteristics are re-injury risk factors for adolescents following anterior cruciate ligament reconstruction. Phys Ther Sport, 2021, 49: 196-203.
10.	Barber-Westin S, Noyes FR. One in 5 athletes sustain reinjury upon return to high-risk sports after ACL reconstruction: A systematic review in 1239 athletes younger than 20 years. Sports Health, 2020, 12(6): 587-597.
11.	Orr J, Sephien A, Diaz MA, et al. Viscoelastic and failure properties of two configurations of triple-folded hamstring tendons used for anterior cruciate ligament (ACL) reconstruction. Knee, 2021, 29: 174-182.
12.	Yung PS, Lee YW, Fu SC, et al. Differential MMP 1 and MMP 13 expression in proliferation and ligamentization phases of graft remodeling in anterior cruciate ligament reconstruction. Connect Tissue Res, 2020. doi: 10.1080/03008207.2020.1862806.
13.	Zhang CL, Fan HB, Xu H, et al. Histological comparison of fate of ligamentous insertion after reconstruction of anterior cruciate ligament: autograft vs allograft. Chin J Traumatol, 2006, 9(2): 72-76.
14.	Haupt E, OKeefe KJ, Clay TB, et al. Biomechanical properties of small-size hamstring autografts. Cureus, 2020, 12(6): e8728. doi: 10.7759/cureus.8728.
15.	Truong PN, Toan NV, Nam VH, et al. Preoperative determination of the size of the semitendinosus and gracilis tendon by multidetector row CT scanner for anterior cruciate ligament reconstruction. J Knee Surg, 2021. doi: 10.1055/s-0041-1727112.
16.	Heijboer WMP, Suijkerbuijk MAM, van Meer BL, et al. Predictive factors for hamstring autograft diameter in anterior cruciate ligament reconstruction. J Knee Surg, 2021, 34(6): 605-611.
17.	Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med, 1990, 18(3): 292-299.
18.	Beynnon BD, Johnson RJ, Naud S, et al. Accelerated versus nonaccelerated rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind investigation evaluating knee joint laxity using roentgen stereophotogrammetric analysis. Am J Sports Med, 2011, 39(12): 2536-2548.
19.	Culvenor AG, Patterson BE, Guermazi A, et al. Accelerated return to sport after anterior cruciate ligament reconstruction and early knee osteoarthritis features at 1 year: An exploratory study. PM R, 2018, 10(4): 349-356.
20.	馬儉凡, 李泳高, 阮良峰, 等. 關節鏡下前交叉韌帶重建術中應用減張線的臨床康復研究. 實用中西醫結合臨床, 2014, 14(7): 30-32.
21.	Smith PA. Editorial commentary: Anterior cruciate ligament graft reinforcement: A new era supported by science. Arthroscopy, 2019, 35(7): 2123-2126.
22.	Kennedy JC, Roth JH, Mendenhall HV, et al. Presidential address. Intraarticular replacement in the anterior cruciate ligament-deficient knee. Am J Sports Med, 1980, 8(1): 1-8.
23.	Lewis TL, Joseph A, Patel A, et al. Modified Brostr?m repair with suture tape augmentation for lateral ankle instability: A systematic review. Foot Ankle Surg, 2021, 27(3): 278-284.
24.	Su M, Jia X, Zhang Z, et al. Medium-term (least 5 years) comparative outcomes in anterior cruciate ligament reconstruction using 4SHG, allograft, and LARS ligament. Clin J Sport Med, 2021, 31(2): e101-e110.
25.	Sun J, Wei XC, Li L, et al. Autografts vs synthetics for cruciate ligament reconstruction: A systematic review and meta-analysis. Orthop Surg, 2020, 12(2): 378-387.
26.	Bachmaier S, DiFelice GS, Sonnery-Cottet B, et al. Treatment of acute proximal anterior cruciate ligament tears-part 2: The role of internal bracing on gap formation and stabilization of repair techniques. Orthop J Sports Med, 2020, 8(1): 2325967119897423. doi: 10.1177/2325967119897423.
27.	Barna? M, Kentel M, Morasiewicz P, et al. Clinical assessment and comparison of ACL reconstruction using synthetic graft (Neoligaments versus FiberTape). Adv Clin Exp Med, 2021, 30(5): 491-498.
28.	Frangie R, Warth RJ, Harner CD. Editorial commentary: Will suture tape augmentation prove to be the answer to anterior cruciate ligament graft remodeling, ultimate strength, and safe return to play? Arthroscopy, 2020, 36(2): 490-491.
29.	Bachmaier S, Smith PA, Bley J, et al. Independent suture tape reinforcement of small and standard diameter grafts for anterior cruciate ligament reconstruction: A biomechanical full construct model. Arthroscopy, 2018, 34(2): 490-499.
30.	Noonan BC, Bachmaier S, Wijdicks CA, et al. Independent suture tape reinforcement of tripled smaller-diameter and quadrupled grafts for anterior cruciate ligament reconstruction with tibial screw fixation: A biomechanical full construct model. Arthroscopy, 2020, 36(2): 481-489.
31.	Matava MJ, Koscso J, Melara L, et al. Suture tape augmentation improves the biomechanical performance of bone-patellar tendon-bone grafts used for anterior cruciate ligament reconstruction. Arthroscopy, 2021, S0749-8063(21)00445-X. doi: 10.1016/j.arthro.2021.04.053.
32.	Smith PA, Bradley JP, Konicek J, et al. Independent suture tape internal brace reinforcement of bone-patellar tendon-bone allografts: Biomechanical assessment in a full-acl reconstruction laboratory model. J Knee Surg, 2020, 33(10): 1047-1054.
33.	常晗, 唐翔宇, 曲峰, 等. 前交叉韌帶重建肌腱移植物內預置高強度縫線預防蠕變的實驗研究. 中國修復重建外科雜志, 2017, 31(1): 42-45.
34.	Soreide E, Denbeigh JM, Lewallen EA, et al. In vivo assessment of high-molecular-weight polyethylene core suture tape for intra-articular ligament reconstruction: an animal study. Bone Joint J, 2019, 101-B(10): 1238-1247.
35.	Buma P, Kok HJ, Blankevoort L, et al. Augmentation in anterior cruciate ligament reconstruction-a histological and biomechanical study on goats. Int Orthop, 2004, 28(2): 91-96.
36.	Cook JL, Smith P, Stannard JP, et al. A canine arthroscopic anterior cruciate ligament reconstruction model for study of synthetic augmentation of tendon allografts. J Knee Surg, 2017, 30(7): 704-711.
37.	Smith PA, Stannard JP, Bozynski CC, et al. Patellar bone-tendon-bone autografts versus quadriceps tendon allograft with synthetic augmentation in a canine model. J Knee Surg, 2020, 33(12): 1256-1266.
38.	Smith PA, Bozynski CC, Kuroki K, et al. Intra-articular biocompatibility of multistranded, long-chain polyethylene suture tape in a canine ACL model. J Knee Surg, 2019, 32(6): 525-531.
39.	Lavender C, Bishop C. The fertilized anterior cruciate ligament: An all-inside anterior cruciate ligament reconstruction augmented with amnion, bone marrow concentrate, and a suture tape. Arthrosc Tech, 2019, 8(6): e555-e559.
40.	Smith PA, Bley JA. Allograft anterior cruciate ligament reconstruction utilizing internal brace augmentation. Arthrosc Tech, 2016, 5(5): e1143-e1147.
41.	Aboalata M, Elazab A, Halawa A, et al. The crossing internal suture augmentation technique to protect the all-inside anterior cruciate ligament reconstruction graft. Arthrosc Tech, 2017, 6(6): e2235-e2240.
42.	Daggett M, Redler A, Witte K. Anterior cruciate ligament reconstruction with suture tape augmentation. Arthrosc Tech, 2018, 7(4): e385-e389.
43.	Aboalata M, Elazab A, Halawa A, et al. Internal suture augmentation technique to protect the anterior cruciate ligament reconstruction graft. Arthrosc Tech, 2017, 6(5): e1633-e1638.
44.	Saper MG. Quadriceps tendon autograft anterior cruciate ligament reconstruction with independent suture tape reinforcement. Arthrosc Tech, 2018, 7(11): e1221-e1229.
45.	McGee R, Daggett M, Jacks A, et al. Patellar tendon graft anterior cruciate ligament reconstruction technique with suture tape augmentation. Arthrosc Tech, 2019, 8(4): e355-e361.
46.	Anderson SR, Youssefzadeh KA, Limpisvasti O. Anterior cruciate ligament reconstruction with suture tape augmentation: A surgical technique. Arthrosc Tech, 2019, 8(12): e1579-e1582.
47.	Benson DM, Hopper GP, Wilson WT, et al. Anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft with suture tape augmentation. Arthrosc Tech, 2021, 10(2): e249-e255.
48.	Peterson L, Eklund U, Engstr?m B, et al. Long-term results of a randomized study on anterior cruciate ligament reconstruction with or without a synthetic degradable augmentation device to support the autograft. Knee Surg Sports Traumatol Arthrosc, 2014, 22(9): 2109-2120.
49.	齊勇, 樊粵光, 孫鴻濤. 關節鏡下內減張技術重建膝關節前交叉韌帶的臨床研究. 中國修復重建外科雜志, 2016, 30(2): 138-142.
50.	韋寶堂, 韋力, 鄒亮. 關節鏡下內減張技術重建膝關節前交叉韌帶的效果分析. 微創醫學, 2019, 14(5): 577-579.
51.	毛健宇, 李彥林, 王國梁, 等. 減張技術解剖重建前交叉韌帶結合術后快速康復治療前交叉韌帶斷裂. 中華創傷骨科雜志, 2018, 20(1): 38-44.
52.	劉德健, 李彥林, 毛健宇, 等. 內減張技術輔助前交叉韌帶重建的運動學分析. 中華關節外科雜志 (電子版), 2020, 14(1): 17-23.
53.	李彥林, 王國梁, 毛健宇, 等. 一種用于交叉韌帶重建的減張線及其編織方法: 中國, CN107280809A. 2017-10-24.
54.	Bodendorfer BM, Michaelson EM, Shu HT, et al. Suture augmented versus standard anterior cruciate ligament reconstruction: A matched comparative analysis. Arthroscopy, 2019, 35(7): 2114-2122.
55.	侯曉偉, 宿顯良. 減張技術聯合自體富血小板血漿在前交叉韌帶重建術的應用及對膝屈曲角度的影響. 實用醫藥雜志, 2021, 38(3): 212-216.
56.	韋釗嵐, 易偉寧, 謝能峰. 前交叉韌帶"袖套"保殘重建聯合關節內減張術對膝關節功能恢復療效的對照研究. 臨床醫藥文獻電子雜志, 2020, 7(87): 30, 34.
57.	Forsythe B, Lansdown D, Zuke WA, et al. Dynamic 3-dimensional mapping of isometric anterior cruciate ligament attachment sites on the tibia and femur: Is anatomic also isometric? Arthroscopy, 2018, 34(8): 2466-2475.

1. Knurr KA, Kliethermes SA, Stiffler-Joachim MR, et al. Running biomechanics before injury and 1 year after anterior cruciate ligament reconstruction in division Ⅰ collegiate athletes. Am J Sports Med, 2021, 49(10): 2607-2614.
2. Zebis MK, Aagaard P, Andersen LL, et al. First-time anterior cruciate ligament injury in adolescent female elite athletes: a prospective cohort study to identify modifiable risk factors. Knee Surg Sports Traumatol Arthrosc, 2021. doi: 10.1007/s00167-021-06595-8.
3. Kohn L, Rembeck E, Rauch A. Anterior cruciate ligament injury in adults: Diagnostics and treatment. Orthopade, 2020, 49(11): 1013-1028.
4. 陳天午, 陳世益. 人工韌帶用于前交叉韌帶修復重建: 目前產品與經驗. 中國修復重建外科雜志, 2020, 34(1): 1-9.
5. Arnold MP, Calcei JG, Vogel N, et al. ACL Study Group survey reveals the evolution of anterior cruciate ligament reconstruction graft choice over the past three decades. Knee Surg Sports Traumatol Arthrosc, 2021. doi: 10.1007/s00167-021-06443-9.
6. Vopat BG, Gross DJ, Wong J, et al. Terminal sterilization of anterior cruciate ligament (ACL) allografts: A systematic review of outcomes. Kans J Med, 2020, 13: 23-28.
7. Hulet C, Sonnery-Cottet B, Stevenson C, et al. The use of allograft tendons in primary ACL reconstruction. Knee Surg Sports Traumatol Arthrosc, 2019, 27(6): 1754-1770.
8. Rahardja R, Zhu M, Love H, et al. Rates of revision and surgeon-reported graft rupture following ACL reconstruction: early results from the New Zealand ACL Registry. Knee Surg Sports Traumatol Arthrosc, 2020, 28(7): 2194-2202.
9. Law MA, Ko YA, Miller AL, et al. Age, rehabilitation and surgery characteristics are re-injury risk factors for adolescents following anterior cruciate ligament reconstruction. Phys Ther Sport, 2021, 49: 196-203.
10. Barber-Westin S, Noyes FR. One in 5 athletes sustain reinjury upon return to high-risk sports after ACL reconstruction: A systematic review in 1239 athletes younger than 20 years. Sports Health, 2020, 12(6): 587-597.
11. Orr J, Sephien A, Diaz MA, et al. Viscoelastic and failure properties of two configurations of triple-folded hamstring tendons used for anterior cruciate ligament (ACL) reconstruction. Knee, 2021, 29: 174-182.
12. Yung PS, Lee YW, Fu SC, et al. Differential MMP 1 and MMP 13 expression in proliferation and ligamentization phases of graft remodeling in anterior cruciate ligament reconstruction. Connect Tissue Res, 2020. doi: 10.1080/03008207.2020.1862806.
13. Zhang CL, Fan HB, Xu H, et al. Histological comparison of fate of ligamentous insertion after reconstruction of anterior cruciate ligament: autograft vs allograft. Chin J Traumatol, 2006, 9(2): 72-76.
14. Haupt E, OKeefe KJ, Clay TB, et al. Biomechanical properties of small-size hamstring autografts. Cureus, 2020, 12(6): e8728. doi: 10.7759/cureus.8728.
15. Truong PN, Toan NV, Nam VH, et al. Preoperative determination of the size of the semitendinosus and gracilis tendon by multidetector row CT scanner for anterior cruciate ligament reconstruction. J Knee Surg, 2021. doi: 10.1055/s-0041-1727112.
16. Heijboer WMP, Suijkerbuijk MAM, van Meer BL, et al. Predictive factors for hamstring autograft diameter in anterior cruciate ligament reconstruction. J Knee Surg, 2021, 34(6): 605-611.
17. Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med, 1990, 18(3): 292-299.
18. Beynnon BD, Johnson RJ, Naud S, et al. Accelerated versus nonaccelerated rehabilitation after anterior cruciate ligament reconstruction: a prospective, randomized, double-blind investigation evaluating knee joint laxity using roentgen stereophotogrammetric analysis. Am J Sports Med, 2011, 39(12): 2536-2548.
19. Culvenor AG, Patterson BE, Guermazi A, et al. Accelerated return to sport after anterior cruciate ligament reconstruction and early knee osteoarthritis features at 1 year: An exploratory study. PM R, 2018, 10(4): 349-356.
20. 馬儉凡, 李泳高, 阮良峰, 等. 關節鏡下前交叉韌帶重建術中應用減張線的臨床康復研究. 實用中西醫結合臨床, 2014, 14(7): 30-32.
21. Smith PA. Editorial commentary: Anterior cruciate ligament graft reinforcement: A new era supported by science. Arthroscopy, 2019, 35(7): 2123-2126.
22. Kennedy JC, Roth JH, Mendenhall HV, et al. Presidential address. Intraarticular replacement in the anterior cruciate ligament-deficient knee. Am J Sports Med, 1980, 8(1): 1-8.
23. Lewis TL, Joseph A, Patel A, et al. Modified Brostr?m repair with suture tape augmentation for lateral ankle instability: A systematic review. Foot Ankle Surg, 2021, 27(3): 278-284.
24. Su M, Jia X, Zhang Z, et al. Medium-term (least 5 years) comparative outcomes in anterior cruciate ligament reconstruction using 4SHG, allograft, and LARS ligament. Clin J Sport Med, 2021, 31(2): e101-e110.
25. Sun J, Wei XC, Li L, et al. Autografts vs synthetics for cruciate ligament reconstruction: A systematic review and meta-analysis. Orthop Surg, 2020, 12(2): 378-387.
26. Bachmaier S, DiFelice GS, Sonnery-Cottet B, et al. Treatment of acute proximal anterior cruciate ligament tears-part 2: The role of internal bracing on gap formation and stabilization of repair techniques. Orthop J Sports Med, 2020, 8(1): 2325967119897423. doi: 10.1177/2325967119897423.
27. Barna? M, Kentel M, Morasiewicz P, et al. Clinical assessment and comparison of ACL reconstruction using synthetic graft (Neoligaments versus FiberTape). Adv Clin Exp Med, 2021, 30(5): 491-498.
28. Frangie R, Warth RJ, Harner CD. Editorial commentary: Will suture tape augmentation prove to be the answer to anterior cruciate ligament graft remodeling, ultimate strength, and safe return to play? Arthroscopy, 2020, 36(2): 490-491.
29. Bachmaier S, Smith PA, Bley J, et al. Independent suture tape reinforcement of small and standard diameter grafts for anterior cruciate ligament reconstruction: A biomechanical full construct model. Arthroscopy, 2018, 34(2): 490-499.
30. Noonan BC, Bachmaier S, Wijdicks CA, et al. Independent suture tape reinforcement of tripled smaller-diameter and quadrupled grafts for anterior cruciate ligament reconstruction with tibial screw fixation: A biomechanical full construct model. Arthroscopy, 2020, 36(2): 481-489.
31. Matava MJ, Koscso J, Melara L, et al. Suture tape augmentation improves the biomechanical performance of bone-patellar tendon-bone grafts used for anterior cruciate ligament reconstruction. Arthroscopy, 2021, S0749-8063(21)00445-X. doi: 10.1016/j.arthro.2021.04.053.
32. Smith PA, Bradley JP, Konicek J, et al. Independent suture tape internal brace reinforcement of bone-patellar tendon-bone allografts: Biomechanical assessment in a full-acl reconstruction laboratory model. J Knee Surg, 2020, 33(10): 1047-1054.
33. 常晗, 唐翔宇, 曲峰, 等. 前交叉韌帶重建肌腱移植物內預置高強度縫線預防蠕變的實驗研究. 中國修復重建外科雜志, 2017, 31(1): 42-45.
34. Soreide E, Denbeigh JM, Lewallen EA, et al. In vivo assessment of high-molecular-weight polyethylene core suture tape for intra-articular ligament reconstruction: an animal study. Bone Joint J, 2019, 101-B(10): 1238-1247.
35. Buma P, Kok HJ, Blankevoort L, et al. Augmentation in anterior cruciate ligament reconstruction-a histological and biomechanical study on goats. Int Orthop, 2004, 28(2): 91-96.
36. Cook JL, Smith P, Stannard JP, et al. A canine arthroscopic anterior cruciate ligament reconstruction model for study of synthetic augmentation of tendon allografts. J Knee Surg, 2017, 30(7): 704-711.
37. Smith PA, Stannard JP, Bozynski CC, et al. Patellar bone-tendon-bone autografts versus quadriceps tendon allograft with synthetic augmentation in a canine model. J Knee Surg, 2020, 33(12): 1256-1266.
38. Smith PA, Bozynski CC, Kuroki K, et al. Intra-articular biocompatibility of multistranded, long-chain polyethylene suture tape in a canine ACL model. J Knee Surg, 2019, 32(6): 525-531.
39. Lavender C, Bishop C. The fertilized anterior cruciate ligament: An all-inside anterior cruciate ligament reconstruction augmented with amnion, bone marrow concentrate, and a suture tape. Arthrosc Tech, 2019, 8(6): e555-e559.
40. Smith PA, Bley JA. Allograft anterior cruciate ligament reconstruction utilizing internal brace augmentation. Arthrosc Tech, 2016, 5(5): e1143-e1147.
41. Aboalata M, Elazab A, Halawa A, et al. The crossing internal suture augmentation technique to protect the all-inside anterior cruciate ligament reconstruction graft. Arthrosc Tech, 2017, 6(6): e2235-e2240.
42. Daggett M, Redler A, Witte K. Anterior cruciate ligament reconstruction with suture tape augmentation. Arthrosc Tech, 2018, 7(4): e385-e389.
43. Aboalata M, Elazab A, Halawa A, et al. Internal suture augmentation technique to protect the anterior cruciate ligament reconstruction graft. Arthrosc Tech, 2017, 6(5): e1633-e1638.
44. Saper MG. Quadriceps tendon autograft anterior cruciate ligament reconstruction with independent suture tape reinforcement. Arthrosc Tech, 2018, 7(11): e1221-e1229.
45. McGee R, Daggett M, Jacks A, et al. Patellar tendon graft anterior cruciate ligament reconstruction technique with suture tape augmentation. Arthrosc Tech, 2019, 8(4): e355-e361.
46. Anderson SR, Youssefzadeh KA, Limpisvasti O. Anterior cruciate ligament reconstruction with suture tape augmentation: A surgical technique. Arthrosc Tech, 2019, 8(12): e1579-e1582.
47. Benson DM, Hopper GP, Wilson WT, et al. Anterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft with suture tape augmentation. Arthrosc Tech, 2021, 10(2): e249-e255.
48. Peterson L, Eklund U, Engstr?m B, et al. Long-term results of a randomized study on anterior cruciate ligament reconstruction with or without a synthetic degradable augmentation device to support the autograft. Knee Surg Sports Traumatol Arthrosc, 2014, 22(9): 2109-2120.
49. 齊勇, 樊粵光, 孫鴻濤. 關節鏡下內減張技術重建膝關節前交叉韌帶的臨床研究. 中國修復重建外科雜志, 2016, 30(2): 138-142.
50. 韋寶堂, 韋力, 鄒亮. 關節鏡下內減張技術重建膝關節前交叉韌帶的效果分析. 微創醫學, 2019, 14(5): 577-579.
51. 毛健宇, 李彥林, 王國梁, 等. 減張技術解剖重建前交叉韌帶結合術后快速康復治療前交叉韌帶斷裂. 中華創傷骨科雜志, 2018, 20(1): 38-44.
52. 劉德健, 李彥林, 毛健宇, 等. 內減張技術輔助前交叉韌帶重建的運動學分析. 中華關節外科雜志 (電子版), 2020, 14(1): 17-23.
53. 李彥林, 王國梁, 毛健宇, 等. 一種用于交叉韌帶重建的減張線及其編織方法: 中國, CN107280809A. 2017-10-24.
54. Bodendorfer BM, Michaelson EM, Shu HT, et al. Suture augmented versus standard anterior cruciate ligament reconstruction: A matched comparative analysis. Arthroscopy, 2019, 35(7): 2114-2122.
55. 侯曉偉, 宿顯良. 減張技術聯合自體富血小板血漿在前交叉韌帶重建術的應用及對膝屈曲角度的影響. 實用醫藥雜志, 2021, 38(3): 212-216.
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Research progress of internal tension relieving technique in assisting anterior cruciate ligament reconstruction

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