前交叉韧带移植物的选择。
Anterior cruciate ligament graft choices.
机构信息
Center for Shoulder, Elbow, and Sports Medicine, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York.
出版信息
Sports Health. 2012 Jan;4(1):63-8. doi: 10.1177/1941738111409890.
Abstract
CONTEXT
Reconstruction of the anterior cruciate ligament (ACL) is a common surgical procedure; however, there is no consensus to what the best graft option is to replace the injured ACL. The main options available consist of allografts and autografts, which include patellar tendon, hamstring tendon, and quadriceps tendon autografts.
EVIDENCE ACQUISITION
The PubMed database was searched in August 2010 for English-language articles pertaining to ACL grafts.
RESULTS
Postoperative outcome variables were analyzed to determine similarities and differences among the different graft options. These variables include stability, strength, function, return to sports, patient satisfaction, complications, and cost.
CONCLUSIONS
Both allografts and the 3 main options for autografts can provide excellent results in ACL reconstruction and lead to a high percentage of satisfied patients. However, differences exist among the graft choices. Both the similarities and the differences are important to discuss with a patient who will be undergoing ACL reconstruction so that he or she has the best information available when making a choice of graft.
摘要
背景
前交叉韧带（ACL）重建是一种常见的外科手术，但对于用哪种最佳移植物来替代受损的 ACL 还没有达成共识。现有的主要选择包括同种异体移植物和自体移植物，其中包括髌腱、腘绳肌腱和股四头肌肌腱自体移植物。
证据采集
2010 年 8 月，在 PubMed 数据库中检索了与 ACL 移植物相关的英文文章。
结果
对术后结果变量进行了分析，以确定不同移植物选择之间的异同。这些变量包括稳定性、强度、功能、重返运动、患者满意度、并发症和成本。
结论
同种异体移植物和 3 种主要的自体移植物选择都可以为 ACL 重建提供出色的结果，并导致高比例的满意患者。然而，移植物的选择存在差异。在与将要接受 ACL 重建的患者进行讨论时，这些相似之处和差异都很重要，以便在选择移植物时为患者提供最佳的信息。
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