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使用快速凝固骨移植替代物的单阶段翻修前交叉韧带重建术。

Single-Stage Revision Anterior Cruciate Ligament Reconstruction Using Fast-Setting Bone Graft Substitutes.

作者信息

Serbin P Austin, Griffin Justin W, Bonner Kevin F

机构信息

Jordan-Young Institute, Virginia Beach, Virginia, U.S.A.

出版信息

Arthrosc Tech. 2020 Jan 28;9(2):e225-e231. doi: 10.1016/j.eats.2019.10.002. eCollection 2020 Feb.

DOI:10.1016/j.eats.2019.10.002
PMID:32099776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7029178/
Abstract

Revision anterior cruciate ligament reconstructions can be performed using either a single-stage or 2-stage technique. There are several benefits to using a single-stage approach when technically possible. Although not always feasible, eliminating the necessity of a 2-stage approach for certain indications is clearly preferable because it requires fewer operative procedures, leads to a more rapid recovery, and is cost effective. Here, we describe the use of fast-setting bone graft substitutes in the setting of single-stage revision anterior cruciate ligament reconstruction. The authors have found this technique useful in converting what would sometimes otherwise be approached using 2 stages into a single-stage procedure.

摘要

前交叉韧带翻修重建手术可以采用单阶段或两阶段技术进行。在技术可行的情况下,采用单阶段方法有几个好处。虽然并非总是可行,但对于某些适应症而言,消除两阶段方法的必要性显然更可取,因为它需要的手术步骤更少,恢复更快,且具有成本效益。在此,我们描述在单阶段前交叉韧带翻修重建中使用快速凝固骨移植替代物的情况。作者发现这种技术有助于将有时原本需要两阶段进行的手术转变为单阶段手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3c/7029178/a17c7ad98b01/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3c/7029178/0155b2a61300/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3c/7029178/a17c7ad98b01/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3c/7029178/0155b2a61300/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3c/7029178/a17c7ad98b01/gr2.jpg

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本文引用的文献

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Bone substitutes: a review of their characteristics, clinical use, and perspectives for large bone defects management.骨替代物:其特性、临床应用及大骨缺损治疗前景综述
J Tissue Eng. 2018 Jun 4;9:2041731418776819. doi: 10.1177/2041731418776819. eCollection 2018 Jan-Dec.
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Two-Stage Revision Anterior Cruciate Ligament Reconstruction Using Allograft Bone Dowels.使用同种异体骨栓进行两阶段翻修前交叉韧带重建术。
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由外向内钻孔可避免翻修前交叉韧带重建中的两阶段手术。
Arthrosc Tech. 2021 Feb 8;10(3):e691-e696. doi: 10.1016/j.eats.2020.10.057. eCollection 2021 Mar.
关节镜下注射式骨移植用于分期翻修前交叉韧带重建术
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Revision Anterior Cruciate Ligament Reconstruction: Results of a Single-stage Approach Using Allograft Dowel Bone Grafting for Femoral Defects.前交叉韧带重建翻修术:采用同种异体骨栓植骨治疗股骨缺损的单阶段手术结果
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Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study.前交叉韧带撕裂与重建的发病率:一项基于人群的21年研究。
Am J Sports Med. 2016 Jun;44(6):1502-7. doi: 10.1177/0363546516629944. Epub 2016 Feb 26.
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Risk of Secondary Injury in Younger Athletes After Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.年轻运动员前交叉韧带重建术后二次损伤的风险:一项系统评价和荟萃分析。
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