Arthroscopy. 2021 Jan;37(1):183-184. doi: 10.1016/j.arthro.2020.10.002.
Some studies have reported no difference between autograft and hybrid anterior cruciate ligament reconstructions. However, other studies have shown a significantly greater revision rate. Consequently, surgeons are reluctant to perform hybrid reconstructions in younger patients with diminutive hamstring autografts and have turned to other autograft graft sources (e.g., quadriceps tendon, patellar tendon). Until we can perform high-quality prospective studies that can definitively answer this question, we should consider avoiding autograft hamstring reconstructions in patients younger than 25 years old so that we are not faced with the dilemma of implanting an undersized autograft or a hybrid graft, as both may be at increased risk for failure.
一些研究报告称，自体移植物和混合前交叉韧带重建之间没有差异。然而，其他研究表明，混合重建的翻修率明显更高。因此，对于使用细小的腘绳肌自体移植物进行混合重建的年轻患者，外科医生不愿意进行手术，而是转向其他自体移植物来源（例如，四头肌肌腱、髌腱）。在我们能够进行高质量的前瞻性研究来明确回答这个问题之前，我们应该考虑避免对年龄小于 25 岁的患者进行自体腘绳肌重建，这样我们就不会面临植入尺寸过小的自体移植物或混合移植物的困境，因为两者都可能增加失败的风险。
