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前交叉韧带重建的当前趋势。第二部分。手术操作与临床关联。

Current trends in anterior cruciate ligament reconstruction. Part II. Operative procedures and clinical correlations.

作者信息

Fu F H, Bennett C H, Ma C B, Menetrey J, Lattermann C

机构信息

Department of Orthopaedics, University of Pittsburgh, Pennsylvania 15213, USA.

出版信息

Am J Sports Med. 2000 Jan-Feb;28(1):124-30. doi: 10.1177/03635465000280010801.

DOI:10.1177/03635465000280010801
PMID:10653557
Abstract

Surgical management of the anterior cruciate ligament-deficient knee has evolved from primary repair to extracapsular augmentation to anterior cruciate ligament reconstruction using biologic tissue grafts. The technique of anterior cruciate ligament reconstruction has improved over the last few decades with the aid of knowledge gained from basic science and clinical research. The biology and biomechanics of anterior cruciate ligament reconstruction were analyzed in the previously published first part of this article. In this second part, current operative concepts of anterior cruciate ligament reconstruction as well as clinical correlations are discussed. The latest information regarding anterior cruciate ligament reconstruction is presented with a goal of demonstrating the correlation between the application of basic science knowledge and the improvement of clinical outcomes.

摘要

前交叉韧带损伤膝关节的手术治疗已从最初的修复发展到关节外增强,再到使用生物组织移植物进行前交叉韧带重建。在过去几十年里,借助从基础科学和临床研究中获得的知识,前交叉韧带重建技术有了改进。本文第一部分已分析了前交叉韧带重建的生物学和生物力学。在第二部分中,将讨论前交叉韧带重建的当前手术理念以及临床相关性。本文呈现了有关前交叉韧带重建的最新信息,目的是展示基础科学知识的应用与临床疗效改善之间的相关性。

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