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.
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.
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。
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