Paterson, New Jersey.
Arthroscopy. 2019 Feb;35(2):535-536. doi: 10.1016/j.arthro.2018.09.011.
The use of a hybrid autograft-allograft for primary anterior cruciate ligament reconstruction (ACLR) has gained significant attention in the orthopaedic sports medicine community in recent years. A hybrid graft is most often used to supplement a hamstring autograft with a small diameter, based on evidence that a graft size under a certain diameter (most often 8 mm) increases the risk for graft failure in younger patients. Multiple studies have been published comparing clinical outcomes of ACLR using a hybrid graft versus a hamstring autograft, with conflicting results. Although it is important to attempt to harvest a graft of sufficient size for this procedure, the indications for the use of a hybrid graft for primary ACLR are still unknown.
近年来,混合自体-同种异体移植物在矫形运动医学领域中用于前交叉韧带初次重建(ACLR)引起了广泛关注。混合移植物最常用于加强腘绳肌自体移植物的强度,其理论依据是,直径小于一定标准(通常为 8 毫米)的移植物会增加年轻患者移植物失效的风险。目前已经发表了多项研究,比较了使用混合移植物和腘绳肌自体移植物进行 ACLR 的临床结果,但结果相互矛盾。虽然尝试获取足够大小的移植物对该手术很重要,但混合移植物用于 ACLR 的适应证仍然未知。