nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2017-6-3-233-237nmp-387Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREРАСШИРЕНИЕ КОСТНЫХ ТОННЕЛЕЙ ПОСЛЕ АУТОПЛАСТИКИ ПЕРЕДНЕЙ КРЕСТООБРАЗНОЙ СВЯЗКИ ТРАНСПЛАНТАТАМИ ИЗ СУХОЖИЛИЙ ПОДКОЛЕННЫХ МЫШЦ (ОБЗОР ЛИТЕРАТУРЫ)BONE TUNNEL WIDENING AFTER ANTERIOR CRUCIATE LIGAMENT AUTOPLASTY WITH HAMSTRINGS (LITERATURE REVIEW)СластининВ. В.SlastininV. V.

младший научный сотрудник отделения неотложной травматологии опорно- двигательного аппарата НИИ СП им. Н.В.Склифосовского

Junior Researcher of the Department for Emergency Traumatology of Musculoskeletal System, N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department

slastinin@gmail.comФайнА. М.FainA. M.ВазаА. Ю.VazaA. Y.ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского Департамента здравоохранения г. Москвы»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow, Russian FederationRussian Federation20171110201763233237Copyright © Сластинин В.В., Файн А.М., Ваза А.Ю., 20172017Сластинин В.В., Файн А.М., Ваза А.Ю.Slastinin V.V., Fain A.M., Vaza A.Y.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/387

Такой феномен, как расширение костных тоннелей после пластики передней крестообразной связки с использованием сухожилий подколенных мышц, известен на протяжении 30 лет. Несмотря на длительную историю данной проблемы, этиология остается до конца не изученной. На процесс расширения костных тоннелей влияет множество факторов, таких как метод фиксации трансплантата, особенности хирургической техники, протокол реабилитации, а также различные биологические факторы. Считается, что на функциональные результаты лечения данный феномен не влияет, но может создать серьезные проблемы при ревизионной пластике передней крестообразной связки. Учитывая возрастающий интерес к использованию трансплантатов из сухожилий подколенных мышц для пластики передней крестообразной связки, увеличение количества данных операций и, как следствие, ревизионных вмешательств, поиск методов профилактики расширения костных тоннелей становится все более актуальным.

ABSTRACT Such a phenomenon as bone tunnel widening after anterior cruciate ligament autoplasty with hamstrings has been known for 30 years. Despite the long history of this issue, the etiology is still not fully understood. The process of expansion of the bone tunnels is influenced by many factors such as graft fixation technique, surgical technique and rehabilitation protocol, as well as various biological factors. It is believed that this phenomenon has no influence on a functional result, but may create serious problems in revision anterior cruciate ligament surgery. Given the growing interest in the use of hamstring tendon grafts for anterior cruciate ligament reconstruction, increasing number of these operations and as a result, of revision procedures, the search for methods of bone tunnel widening prevention is becoming more urgent.

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The authors declare that there are no conflicts of interest present.