前交叉韧带重建移植物选择的当前概念
Current concepts in graft selection for anterior cruciate ligament reconstruction.
作者信息
Baawa-Ameyaw Joanna, Plastow Ricci, Begum Fahima Aarah, Kayani Babar, Jeddy Hyder, Haddad Fares
机构信息
Department of Trauma and Orthopaedic Surgery, University College Hospital, London, UK.
Department of Orthopaedic Surgery, The Princess Grace Hospital, London, UK.
出版信息
EFORT Open Rev. 2021 Sep 14;6(9):808-815. doi: 10.1302/2058-5241.6.210023. eCollection 2021 Sep.
Abstract
Graft selection for anterior cruciate ligament reconstruction (ACLR) is important for optimizing post-operative rehabilitation, facilitating return to full sporting function and reducing the risk of complications.The most commonly used grafts for ACLR include hamstring tendon autografts, bone-patellar tendon-bone autografts, quadriceps tendon autografts, allografts and synthetic grafts.This instructional review explores the existing literature on clinical outcomes with these different graft types for ACLR and provides an evidence-based approach for graft selection in ACLR.The existing evidence on the use of extra-articular tenodesis to provide additional rotational stability during ACLR is also revisited. Cite this article: 2021;6:808-815. DOI: 10.1302/2058-5241.6.210023.
摘要
前交叉韧带重建（ACLR）的移植物选择对于优化术后康复、促进恢复全面运动功能以及降低并发症风险至关重要。ACLR最常用的移植物包括腘绳肌腱自体移植物、骨-髌腱-骨自体移植物、股四头肌肌腱自体移植物、同种异体移植物和合成移植物。本指导性综述探讨了关于这些不同类型移植物用于ACLR的临床结局的现有文献，并为ACLR的移植物选择提供了一种基于证据的方法。还重新审视了关于在ACLR期间使用关节外腱固定术以提供额外旋转稳定性的现有证据。引用本文：2021；6：808 - 815。DOI：10.1302/2058 - 5241.6.210023。
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Knee Surg Sports Traumatol Arthrosc. 2021 Jun;29(6):1880-1886. doi: 10.1007/s00167-020-06220-0. Epub 2020 Sep 4.
2
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Medicine (Baltimore). 2020 Jul 31;99(31):e21540. doi: 10.1097/MD.0000000000021540.
3
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4
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Injury. 2020 Aug;51(8):1714-1725. doi: 10.1016/j.injury.2020.05.025. Epub 2020 May 23.
5
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6
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