Muneta Takeshi, Koga Hideyuki
Department of Orthopaedic Surgery, Tokyo Medical and Dental University Medical Hospital, Tokyo, Japan.
Department of Joint Surgery and Sports Medicine, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2016 Oct 28;7:1-9. doi: 10.1016/j.asmart.2016.09.002. eCollection 2017 Jan.
Controversy surrounds the remnant-preserving anterior cruciate ligament surgery. Advantages of remnant preservation have been reported in regard to better healing and knee function, although no consensus has been reached. This review article discussed the value and meaning of anterior cruciate ligament remnant preservation in several sections such as effects on healing, remnant classification, biomechanical evaluation, relation to proprioception, animal studies, and clinical studies. We hope that this review will facilitate further discussion and investigation for better treatment of anterior cruciate ligament injuries. So far, the current reviews have not provided sufficient scientific evidence to support the value of preserving the remnant.
保留残端的前交叉韧带手术存在争议。尽管尚未达成共识，但已有报道称保留残端在促进愈合和改善膝关节功能方面具有优势。本文综述在前交叉韧带残端保留的愈合效果、残端分类、生物力学评估、本体感觉关系、动物研究及临床研究等多个方面探讨了其价值和意义。我们希望这篇综述能促进进一步的讨论和研究，以更好地治疗前交叉韧带损伤。目前，现有综述尚未提供足够的科学证据来支持保留残端的价值。
