前交叉韌帶與後交叉韌帶及內側副韌帶、外側副韌帶一起，維繫膝關節的穩定。如前交叉韌帶損傷，常引起膝關節不穩和疼痛，可能需要進行前交叉韌帶重建術。
ACL Reconstruction
前十字韌帶重建術
The anterior cruciate ligament (ACL) is one of the four main ligaments connecting the femur to the tibia.
前交叉韌帶(ACL)是連接股骨和脛骨四條主要韌帶之一。
The ACL provides stability as you move your knee. A torn ACL may occur if your knee joint over-rotates or if you receive a direct blow to the front of your knee.
ACL為膝關節活動提供了穩定性。當膝關節過度旋轉，或在膝關節前方遭到直接打擊，會造成ACL撕裂。
If your ACL tears through completely, your doctor may recommend surgery to repair it.
如果前交叉韌帶完全撕裂，醫生可能建議通過外科手術來修復它。
Before your procedure your will receive either spinal anaethesia which will numb your body from the chest down or general anaethesia which will put you to sleep for the duration of the procedure.
開始手術前，會進行脊髓麻醉，使病人胸部以下麻木，或進行全身麻醉，使病人在手術期間入睡。
During this arthroscopic procedure, your surgeon will make a few incisions around your knee, through which he/she will insert surgical instruments including a camera.
在關節鏡手術期間，外科醫生會在膝關節周圍作幾個切口，插入帶有攝像頭的手術器械。
The camera will transmit images to a TV monitor, which the surgeon will view during the procedure.
攝像頭將圖像傳輸到電視監視器，這樣，醫生可以在術中進行觀察。
First, your surgeon will remove the remaining portions of your torn ACL from your knee. Then your surgeon will remove part of your patella tendon to use as the graft or obtain donor tissue.
首先，術者將從膝關節去除撕裂前交叉韌帶的殘留部分。然後，術者會切取髕腱的一部分用作移植物或獲取捐獻者的組織。
Your surgeon will create attachment points for the graft by drilling a small tunnel in the end of your tibia, then another in the end of your femur.
術者會在脛骨近端鑽一個小隧道，作為移植物附著點，同樣在股骨遠端也作一個隧道。
Your surgeon will place one end of the patella tendon graft in the tibial tunnel, then he/she will pull the graft up through the knee joint and into the femoral tunnel to create a new ACL tendon.
術者將髕腱的一端移植在脛骨隧道，並將它拉過膝關節到股骨隧道，創建一個新的ACL肌腱。
Finally, your surgeon will place small screws in the tunnels at either ends of the new ACL to hold it in place.
最後，術者用小螺釘將隧道兩端的新的ACL固定牢固。
Over the next 6-8 weeks, bone growths will fill in these tunnels, further stabilizing the graft.
在接下來的6-8周骨生長將這些隧道將填滿，進一步穩定移植物。
At the end of the procedure, your doctor will remove the instruments and close the incisions. This procedure typically lasts 2-2.5 hours.
術畢，術者撤出手術器械，關閉切口。手術通常持續2～2.5小時。
After the procedure, you will go to the recovery room for 2~3 hours, and then go home.You will likely need a knee brace and crutches for 1~4 weeks.
術後，病人將在復甦室監護2~3小時，然後就可以回家了。術後往往需要膝關節護具或扶拐杖1~4周。
Supervised Physical therapy should begin 2/3 days after surgery and continues for 6~10 weeks. After these time continue with self-directed therapy as long as needed. It takes about 9 months for a reconstructed ACL to fully heal.
術後2~3天即可指導病人進行物理治療，並持續6~10周。此後，應堅持長期自我鍛鍊。重建的前交叉韌帶完全癒合需要９個月的時間。
You should avoid contact sports,racquet sports, and other sports that requires rapid direction changes until you abtain approval from your physician.
術後應避免身體接觸的體育運動、球拍運動以及其它需要快速改變方向的運動，直到獲得醫生允許。
（邰肥 聽譯 胡佰文 校對）
邰肥（TAFY），加納人，原名TAKYI-APPIAH FRANK YAW，河北醫科大學國際教育學院博士。
Name: TAKYI-APPIAH FRANK YAW
Date of Birth: 6th June, 1985
Nationality: Ghanaian
Marital Status: Single
Sex: Male
School Address: International Education College, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang City, 050000, Hebei Province, P.R. China
Work Address: 2nd Unit of Orthopedic Department, Hebei General Hospital, 348 Heping West Road, Shijiazhuang City, 050000, Hebei Province, P.R. China
Contact Line: +8615133344474/ +8613013230737
E-Mail:ftakyiappiah@live.com
ftakyiappiah@yahoo.com
Skype ID: ftakyiappiah
QQ ID: 1687683045
OBJECTIVES:
To provide analytical and practical support to challenging research oriented fields of endeavor with a demonstrated commitment to providing compassionate medical care, both academic and corporate to provide optimum orthopedic care and improve quality of life in underdeveloped and underserved regions.
EDUCATION:
2015-Present: Doctor of Medicine, Doctor of Research (MD-PhD), 3rd Affiliated Hospital of Hebei Medical University & Hebei General Hospital, Hebei Province, Shijiazhuang City, P.R. China.
2010-2015: Bachelor of Medicine, Bachelor of Surgery (MBBS), Hebei North University, Hebei Province Zhangjiakou City, P.R. China
2004-2008: Bachelor of Science (Honors) Degree in Psychology (BSc. Psych.), University of Ghana (UG), Legon, Ghana. (Chemistry, Physics, Biology, Statistics and Psychology).
EXPERIENCE:
Resident (Trauma & Orthopedics): Hebei No. 3 Hospital &Hebei General Hospital, Shijiazhuang, China P.R.
January 2016-Present
Medical Officer (Locum): Ghana Atomic Energy Commission Hospital (GAEC), Atomic, Ghana.
August 2015-January 15, 2016: Locum morning duty doctor.
Clinical Sub-Intern: Greater-Accra Regional Hospital (Ridge), Accra, Ghana.
April 2015- June 2015: Department of Surgery
Clinical Sub-Intern: La General Hospital (OBAMA Hospital), Labadi, Accra, Ghana.
June 2014- March 2015: Departments of Internal Medicine, Public Health, Obstetrics & Gynecology and Pediatrics.
Principal Research Assistant: Institute of Statistical, Social and Economic Research (ISSER),
University of Ghana, Legon
October 2008-September 2010
-Programming Screens for Data Capture, Data Processing and Analysis.
-Research Design and Implementation, Monitoring of Program Indicators, Design of Data Collection Tools, Evaluation, Writing of Reports to Various Stakeholders and MIS.
MEMBERSHIP & POSITIONS:
Orthopedic Research Society (ORS): Associate Member
Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT)
International Society of Orthopaedic Surgery and Traumatology
Member Type: Associate Member
American Academy Of Orthopaedic Surgeons (AAOS)/
American Association Of Orthopaedic Surgeons (AAOS)
Member Type: International Resident
International Chinese Musculoskeletal Research Society (ICMRS): Member
AO Foundation-AOTrauma: Bronze Member
International Cartilage Repair Society (ICRS): Junior Member
INTEREST:
Primary: Bone Fracture, Fracture, Trauma, Disability/ Legal Orthopedics.
Secondary: Biomaterials (Bioactive-Tissue-Engineering & Bio inert) and Infection.
SKILLS:
General Orthopedics, Adult reconstruction, Research, Sports, Trauma.
相關閱讀：
英漢對照骨科患者指南038：膕繩肌腱重建ACL
英漢對照骨科患者指南045：膝關節解剖
骨科疾病早知道003：半月板撕裂（Meniscus Tear）
骨科小病不求醫044：膝關節骨性關節炎（OSTEOARTHRITIS OF THE KNEE）
骨科手術早知道034：前交叉韌帶重建術ACL RECONSTRUCTION (PATELLAR TENDON GRAFT )
骨科手術早知道035：使用膕繩肌腱重建前十字韌帶(ACL RECONSTRUCTION WITH HAMSTRING)
骨科手術早知道039：關節鏡（JOINT ARTHROSCOPY）
骨科手術早知道113：診斷性膝關節鏡（Diagnostic Knee Arthroscopy）
骨科手術早知道121：半月板修剪術（Torn Meniscus Trimming）
骨科手術早知道137：前交叉韌帶解剖重建術（Anatomic Footprint ACL Reconstruction）
骨科手術早知道148：前交叉韌帶撕裂與重建（ACL Tear & Reconstruction）
骨科手術早知道146：膝關節鏡患者指南（A Patient's Guide to Knee Arthroscopy)
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