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人工韧带临床应用的现状与进展

Status and headway of the clinical application of artificial ligaments.

作者信息

Chen Tianwu, Jiang Jia, Chen Shiyi

机构信息

Fudan University Sports Medicine Centre, Shanghai, China.

Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Shanghai, China.

出版信息

Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015 Feb 9;2(1):15-26. doi: 10.1016/j.asmart.2014.11.001. eCollection 2015 Jan.

Abstract

The authors first reviewed the history of clinical application of artificial ligaments. Then, the status of clinical application of artificial ligaments was detailed. Some artificial ligaments possessed comparable efficacy to, and fewer postoperative complications than, allografts and autografts in ligament reconstruction, especially for the anterior cruciate ligament. At the end, the authors focused on the development of two types of artificial ligaments: polyethylene glycol terephthalate artificial ligaments and tissue-engineered ligaments. In conclusion, owing to the advancements in surgical techniques, materials processing, and weaving methods, clinical application of some artificial ligaments so far has demonstrated good outcomes and will become a trend in the future.

摘要

作者首先回顾了人工韧带的临床应用历史。然后,详细阐述了人工韧带的临床应用现状。在韧带重建中,一些人工韧带在疗效上与同种异体移植物和自体移植物相当,且术后并发症更少,尤其是在前交叉韧带重建方面。最后,作者重点介绍了两种人工韧带的发展:聚对苯二甲酸乙二酯人工韧带和组织工程韧带。总之,由于手术技术、材料加工和编织方法的进步,目前一些人工韧带的临床应用已显示出良好效果,并将成为未来的发展趋势。

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