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本文引用的文献

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Clinical Outcome of Anatomical Transportal Arthroscopic Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft.自体腘绳肌腱解剖双隧道关节镜下前交叉韧带重建的临床疗效
Arch Bone Jt Surg. 2018 Mar;6(2):130-139.
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Primary single suture anchor re-fixation of anterior cruciate ligament proximal avulsion tears leads to good functional mid-term results: a preliminary study in 12 patients.前交叉韧带近端撕脱伤的初次单缝线锚钉重新固定可带来良好的中期功能结果：12例患者的初步研究
J Orthop Surg Res. 2017 Nov 13;12(1):171. doi: 10.1186/s13018-017-0678-9.
4
Role of tear location on outcomes of open primary repair of the anterior cruciate ligament: A systematic review of historical studies.泪液位置在前交叉韧带开放性一期修复结果中的作用：历史研究的系统评价
Knee. 2017 Oct;24(5):898-908. doi: 10.1016/j.knee.2017.05.009. Epub 2017 Aug 10.
5
Is There a Role for Internal Bracing and Repair of the Anterior Cruciate Ligament? A Systematic Literature Review.前交叉韧带的内置支撑和修复是否有作用？系统文献回顾。
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Preoperative magnetic resonance imaging predicts eligibility for arthroscopic primary anterior cruciate ligament repair.术前磁共振成像预测关节镜下原发性前交叉韧带修复的适应证。
Knee Surg Sports Traumatol Arthrosc. 2018 Feb;26(2):660-671. doi: 10.1007/s00167-017-4646-z. Epub 2017 Jul 13.
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Changes in gait pattern and early functional results after ACL repair are comparable to those of ACL reconstruction.ACL 修复后的步态模式变化和早期功能结果与 ACL 重建相当。
Knee Surg Sports Traumatol Arthrosc. 2018 Feb;26(2):374-380. doi: 10.1007/s00167-017-4618-3. Epub 2017 Jul 3.
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Range of motion and complications following primary repair versus reconstruction of the anterior cruciate ligament.前交叉韧带初次修复与重建后的活动范围及并发症
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Anterior Cruciate Ligament Repair and Biologic Innovations.前交叉韧带修复与生物创新
JBJS Rev. 2017 May;5(5):e2. doi: 10.2106/JBJS.RVW.16.00050.
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Factors influencing the success of anterior cruciate ligament repair with dynamic intraligamentary stabilisation.影响动态内置式韧带稳定术治疗前交叉韧带修复成功的因素。
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前交叉韧带的一期修复：近期文献综述（2016 - 2017年）

Primary Repair of the Anterior Cruciate Ligament: A Review of Recent Literature (2016-2017).

作者信息

Rodriguez-Merchan E Carlos

机构信息

Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain.

Research performed at the Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain.

出版信息

Arch Bone Jt Surg. 2019 May;7(3):297-300.

PMID:31312690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6578482/
Abstract

BACKGROUND

Anterior cruciate ligament (ACL) reconstruction using tendon or ligament autograft is the current gold standard surgical technique for acute ACL ruptures. However, ACL repair surgical procedures are reappearing as an optimistic treatment alternative for acute proximal ruptures. The purpose of this annotation is to review the current role of primary repair of the ACL.

METHODS

A Cochrane Library and PubMed (MEDLINE) search related to the role of ACL repair in acute ACL rupture was analyzed.

RESULTS

Arthroscopic ACL repair can accomplish good short-run outcomes with knee stability and resumption of sport activity in children, with proximal ACL avulsion tear. Reported results of open primary repair in adult patients with proximal tears are excellent, which ratifies there may be a possible role for primary repair as management for proximal ACL tears.

CONCLUSION

Recent reports suggest that refixation of the ACL is a possible treatment alternative in selected patients. Only time will tell whether the long-run results are similar to those obtained following ACL reconstruction.

LEVEL OF EVIDENCE

III.

摘要

背景

使用自体肌腱或韧带进行前交叉韧带（ACL）重建是目前治疗急性ACL断裂的金标准手术技术。然而，ACL修复手术正再次成为急性近端断裂的一种乐观治疗选择。本注释的目的是回顾ACL一期修复的当前作用。

方法

分析了与ACL修复在急性ACL断裂中的作用相关的Cochrane图书馆和PubMed（MEDLINE）检索结果。

结果

关节镜下ACL修复对于儿童近端ACL撕脱伤在膝关节稳定性和恢复运动活动方面可取得良好的短期效果。报道的成年近端撕裂患者开放一期修复的结果极佳，这证实了一期修复作为近端ACL撕裂治疗方法可能具有一定作用。

结论

近期报告表明，在特定患者中，ACL重新固定是一种可能的治疗选择。只有时间能证明长期结果是否与ACL重建后的结果相似。

证据级别

III级。