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[前交叉韧带的手术史]

[History of surgery of the anterior cruciate ligament].

作者信息

Eberhardt C, Jäger A, Schwetlick G, Rauschmann M A

机构信息

Orthopädische Universitäts- und Poliklinik Friedrichsheim, Marienburgstrasse 2, 60528 Frankfurt am Main.

出版信息

Orthopade. 2002 Aug;31(8):702-9. doi: 10.1007/s00132-002-0329-6.

Abstract

Early comments on the anterior cruciate ligament were found in ancient literature, and the first scientific reports were published in the nineteenth century. The first surgical treatment of a ruptured anterior cruciate ligament was carried out in 1895 by Robson performing a primary suture of the torn ligament. In 1903 F. Lange suggested a complete replacement of the injured ligament using silk ligaments and in 1914 Grekow was probably the first who recommended autogenous transplants by using a fascia lata strip. In 1917 Hey-Groves presented his surgical technique that was the fundament for reconstruction surgery in the following years. Today, the autogenous transplant is accepted to be the golden standard for replacement of the injured anterior cruciate ligament. The bone-tendon-bone transplant of the patellar ligament and the semitendinosus or gracilis tendon are recommended by most surgeons. In the history of anterior cruciate ligament surgery, the surgical technique of the operative procedures has also changed. The evolution started with open arthrotomy followed by mini-arthrotomy and led to arthroscopically assisted replacement of the anterior cruciate ligament.

摘要

早期对前交叉韧带的论述见于古代文献,最早的科学报告发表于19世纪。1895年,罗布森首次对断裂的前交叉韧带进行手术治疗,对撕裂的韧带进行一期缝合。1903年,F. 兰格建议用丝线韧带完全替换受损韧带,1914年,格雷科夫可能是第一个建议使用阔筋膜条进行自体移植的人。1917年,海 - 格罗夫斯提出了他的手术技术,这成为随后几年重建手术的基础。如今,自体移植被公认为是替换受损前交叉韧带的金标准。大多数外科医生推荐使用髌韧带的骨 - 肌腱 - 骨移植以及半腱肌或股薄肌腱。在前交叉韧带手术的历史中,手术操作的技术也发生了变化。演变过程始于开放关节切开术,随后是小切口关节切开术,最终发展为关节镜辅助下的前交叉韧带置换术。

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