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[전문] 전외측 불안정성을 잡기위한 추가적인 수술법 ITB tenodesis + ACL reconstruction
의손
2023. 6. 5. 23:27
Lateral augmentation 하는 방법중 하나인 수술법 입니다. Biocomposite Screw를 Tunnel을 이용하여 수술하는 경우가 많습니다.
![](https://blog.kakaocdn.net/dn/K6U0Z/btsiNvIDx9R/DhN3Ea2xlC4Ne35DqkefFK/img.jpg)
![](https://blog.kakaocdn.net/dn/b1vw3H/btsiNuJGqnx/bkSuLawKz7MotSVGrCf08k/img.jpg)
![](https://blog.kakaocdn.net/dn/c23utX/btsiPPznowr/QNGBwQbhkKoP36zS8Npkq1/img.jpg)
![](https://blog.kakaocdn.net/dn/2CFgk/btsiM9TfUqT/Uz0CSsSzKCdWHkXuzcXqL0/img.jpg)
![](https://blog.kakaocdn.net/dn/kPKgu/btsiPiV1EUM/JkodYoukeg2nmDCsoBexi1/img.jpg)
![](https://blog.kakaocdn.net/dn/IjwrG/btsiPjN9jrN/NbFhKd6bOveyqTEeiGON50/img.jpg)
![](https://blog.kakaocdn.net/dn/c9Sf9a/btsiJzdyUyH/mKyKJpFOy4EKwbKtk0ezX1/img.jpg)
ALL 역할을 도와준다고 보면 쉽게 이해가 될 것 같습니다.
Lateral Extra articular Tenodesis의 역사는 생각보다 깊어서 많이 놀라게 됩니다.
![](https://blog.kakaocdn.net/dn/dgJLHV/btsiQj8bBqL/eKLFCqkpSNRnfcF9rtkae1/img.png)
1967년부터 이러한 무릎 전외측 불안정성을 조정하기 위한 노력이 많이 있었습니다.
순서대로 보면 다음과 같습니다.
![](https://blog.kakaocdn.net/dn/ca16ow/btsiOeGHs50/KzdnM4YQDrOFZOuKeEEMaK/img.png)
![](https://blog.kakaocdn.net/dn/YXJzh/btsiPPMTOUO/QLsFtx0OvXmgkLnwpG2ngK/img.png)
![](https://blog.kakaocdn.net/dn/biT9Cd/btsiBKzREIb/LKHMa7RtxZYbOicCvf7951/img.png)
![](https://blog.kakaocdn.net/dn/bdUc62/btsiM801VHG/ZMptpfQ6hFNfGow6yFtKOK/img.png)
![](https://blog.kakaocdn.net/dn/lE2Lz/btsiFNiLGJv/EipaI2DUjOqk2HjpsAzTw1/img.png)
![](https://blog.kakaocdn.net/dn/ccZcwS/btsiJx7SAxR/NaucLtR4nkykZ8SqeAJCq1/img.png)
![](https://blog.kakaocdn.net/dn/l9i4k/btsiQ5ojw1u/GHOQLLnxzFqrrOHvxdYao0/img.png)
![](https://blog.kakaocdn.net/dn/edwXQM/btsiBKGCkTl/KoxcvkJYVCeiVg40WUIwLK/img.png)
![](https://blog.kakaocdn.net/dn/cfXBkQ/btsiBLerky8/QFrIHdLXoHCKtt1kuvOeFk/img.png)
![](https://blog.kakaocdn.net/dn/3A6UI/btsiM8UgZJe/Shnj0U74jims7o1L3PZk9K/img.png)
![](https://blog.kakaocdn.net/dn/bE7gf9/btsiNc3rqed/q9JT3ETAUhskxPtkxp1GhK/img.png)
![](https://blog.kakaocdn.net/dn/bJIMFA/btsiQksurZl/wH4bMP8XtAQstZoUc1ilN0/img.png)
참신한 방법인 것 같습니다. 최근에는 Allograft 도 많이 발전하여 tendon graft에 이용되고 있습니다.