Maffulli Nicola, Spiezia Filippo, La Verde Luca, Rosa Michele Attilio, Franceschi Francesco
*Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno ‡Department Upper and Lower Limb Surgery Unit, University Campus Bio-Medico, Rome, Rome §Department BIOMORF, University Policlinic "Gaetano Martino", University of Messina, Messina, Italy †Institute of Health Sciences Education, Centre for Sports and Exercise Medicine Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Sports Med Arthrosc Rev. 2017 Mar;25(1):41-50. doi: 10.1097/JSA.0000000000000139.
We performed a literature search on PubMed, Web of Science, Science Direct/Scopus, Google Scholar, and Google to evaluate results of several techniques to manage disruption of the extensor mechanism after total knee arthroplasty. Different methods to manage extensor mechanism disruption are available at present, with no level I studies informing surgeons in an evidence-based fashion. Primary repair is not indicated. Allograft reconstruction could be effective, providing that appropriate surgical technique and allograft tensioning are implemented.
我们在PubMed、科学网、科学Direct/Scopus、谷歌学术和谷歌上进行了文献检索，以评估全膝关节置换术后伸肌机制中断的几种处理技术的效果。目前有多种处理伸肌机制中断的方法，但尚无I级研究以循证方式为外科医生提供指导。不建议进行一期修复。同种异体移植重建可能有效，前提是实施适当的手术技术和同种异体移植张紧。
