Becker R, Röpke M, Nebelung W
Orthopädische Universitätsklinik, "Otto von Guericke" Universität Magdeburg, Germany.
Zentralbl Chir. 2002 Oct;127(10):842-9. doi: 10.1055/s-2002-35128.
With the introduction of arthroscopy most of the surgeon have changed their technique in ACL-reconstruction from open to arthroscopically performed techniques. Several new techniques have been developed in the past, including new fixation devices and different grafts. The cruciate ligament reconstruction comprises a composition of both, the graft and the fixation to the bone. Well accepted autografts are the patellar midthird, the semitendinosus/gracilis or the quadriceps tendon. In special cases allografts are alternatives. The fixation can cause failure due to overstrain or creep during the postoperative period of healing. Considering their biomechanical properties, cruciate ligament reconstruction should aim for a graft behavior comparable with the native cruciate ligament. Results gained from basic science and clinical studies are reviewed in the following article.
随着关节镜技术的引入，大多数外科医生在 ACL 重建手术中的技术已从开放手术转变为关节镜手术技术。过去已经开发了几种新技术，包括新的固定装置和不同的移植物。交叉韧带重建包括移植物和骨固定两部分。广泛接受的自体移植物有髌腱中 1/3、半腱肌/股薄肌或股四头肌腱。在特殊情况下，同种异体移植物是替代选择。固定可能会在术后愈合期间因过度受力或蠕变而导致失败。考虑到交叉韧带的生物力学特性，交叉韧带重建应旨在使移植物的性能与天然交叉韧带相当。以下文章将对基础科学和临床研究的结果进行综述。
