Sidney Kimmel College of Medicine at Thomas Jefferson University.
Arthroscopy. 2020 Jun;36(6):1647-1648. doi: 10.1016/j.arthro.2020.03.005.
Graft choice for anterior cruciate ligament reconstruction has been a great controversy in the sports medicine literature for the last 25 years. It has been well studied in the orthopaedic literature, with numerous randomized control trials and large database studies. There remain advantages and disadvantages to each autograft choice, primarily bone-patellar tendon-bone, quadrupled hamstring, as well as allograft. More recently, quadriceps autograft has also been studied as a suitable alternative. Most studies show nearly equivalent functional outcomes for autograft anterior cruciate ligament using bone-patellar tendon-bone and hamstring autografts in athletes younger than the age of 25 years, whereas allograft may be preferred for older athletes.
在前交叉韧带重建中，移植物的选择一直是运动医学文献中的一个重大争议，在过去的 25 年中，它在骨科文献中得到了广泛研究，包括许多随机对照试验和大型数据库研究。每种自体移植物（主要是骨-髌腱-骨、四股腘绳肌和同种异体移植物）都有其优缺点。最近，股四头肌自体移植物也被研究作为一种合适的替代物。大多数研究表明，对于 25 岁以下的运动员，使用骨-髌腱-骨和腘绳肌自体移植物进行前交叉韧带重建的自体移植物具有几乎相同的功能结果，而同种异体移植物可能更适合年龄较大的运动员。
