Hoogeslag Roy A G, de Vries Astrid J, Brouwer Reinoud W
OCON orthopedische kliniek, Hengelo en Almelo.
Martini Ziekenhuis, afd. Orthopedie, Groningen.
Ned Tijdschr Geneeskd. 2023 Mar 16;167:D7220.
In the case of persistent complaints of instability due to a rupture of the anterior cruciate ligament (ACL), surgical treatment can be opted for, in which reconstruction with a body's own tendon graft (autograft) is the gold standard. New information has created renewed interest in the primary repair of an ACL rupture. Potential advantages of repair of the ACL rupture compared with a reconstruction are the restoration of the complex natural anatomy including the proprioception of the native ACL, and no donor site morbidity. Biomechanical studies show that when suturing an ACL rupture, intra-articular augmentation is important to protect the repaired ACL during healing. Given the results of randomized studies comparing the ACL suture technique including augmentation with the ACL reconstruction, it can be concluded that the nowadays used suture technique in combination with an augmentation could be an alternative treatment to the current gold standard, the ACL reconstruction.
对于因前交叉韧带（ACL）断裂而持续出现不稳定主诉的情况，可以选择手术治疗，其中使用自体肌腱移植物（自体移植物）进行重建是金标准。新的信息引发了人们对ACL断裂一期修复的新兴趣。与重建相比，ACL断裂修复的潜在优势在于恢复包括天然ACL本体感觉在内的复杂自然解剖结构，且无供区并发症。生物力学研究表明，缝合ACL断裂时，关节内增强对于愈合过程中保护修复后的ACL很重要。鉴于比较包括增强在内的ACL缝合技术与ACL重建的随机研究结果，可以得出结论，如今使用的缝合技术结合增强可能是当前金标准——ACL重建的一种替代治疗方法。
