Kobayashi S, Takei T, Yagi R, Mamiya N
Department of Orthopaedic Surgery, Nagano Rehabilitation Center, Japan.
Arch Orthop Trauma Surg. 1989;108(4):246-9. doi: 10.1007/BF00936210.
Once the opportunity for primary repair of injured knee ligaments after traumatic dislocation has been lost, ligamentous reconstruction is difficult using only autogenic tissues because of the risk of loss of function at the donor site, so other substitutes are needed. The four major ligaments in the unstable knee of a 35-year-old man were reconstructed by solvent-preserved human fascia lata three months after traumatic open dislocation. The clinical results were satisfactory. Arthroscopic examination one year later showed that the reconstructed ligaments had good thickness and tension and were composed of autologous connective tissue without evidence of rejection. The literature on dislocation of the knee and on cruciate ligament reconstruction by allograft was reviewed, and a brief introduction to solvent-preserved human fascia lata was presented. The commercialization of this material has solved some common problems concerned with using allogenic tissues.
一旦创伤性脱位后对损伤的膝关节韧带进行一期修复的机会丧失，仅使用自体组织进行韧带重建会因供区功能丧失的风险而变得困难，因此需要其他替代物。一名35岁男性膝关节不稳定，在创伤性开放性脱位三个月后，用溶剂保存的人阔筋膜对四条主要韧带进行了重建。临床结果令人满意。一年后的关节镜检查显示，重建的韧带厚度和张力良好，由自体结缔组织组成，无排斥迹象。回顾了膝关节脱位和同种异体移植重建交叉韧带的文献，并对溶剂保存的人阔筋膜作了简要介绍。这种材料的商业化解决了一些与使用同种异体组织相关的常见问题。
