Runer Armin, Keeling Laura, Wagala Nyaluma, Nugraha Hans, Özbek Emre Anil, Hughes Jonathan D, Musahl Volker
Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pittsburgh, PA, USA.
Department for Sports Orthopaedics, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
J Exp Orthop. 2023 Apr 4;10(1):40. doi: 10.1186/s40634-023-00601-3.
Postoperative patient satisfaction after anterior cruciate ligament reconstruction (ACL-R) is influenced mainly by the degree of pain, the need for reoperation, and functional performance in daily activities and sports. Graft choice has shown to have an influence on postoperative outcomes after ACL-R. While patient reported outcomes measurements do not differ between graft options, evidence shows that normal knee kinematics is not fully restored after ACL-R with an increase in postoperative anterior tibial translation (ATT). Postoperative graft rupture rates seem to favor bone-patella-tendon-bone (BPTB) and quadriceps tendon (QT) autografts over HT or allografts. While return to sports rates seem comparable between different graft types, postoperative extensor strength is reduced in patients with BPTB and QT whereas flexion strength is weakened in patients with HT. Postoperative donor site morbidity is highest in BPTB but comparable between HT and QT. With all graft options having advantages and drawbacks, graft choice must be individualized and chosen in accordance with the patient.
前交叉韧带重建术（ACL - R）后患者的术后满意度主要受疼痛程度、再次手术需求以及日常活动和运动中的功能表现影响。研究表明，移植物的选择会对ACL - R术后的结果产生影响。虽然患者报告的结果测量在不同移植物选择之间没有差异，但有证据表明，ACL - R术后正常膝关节运动学并未完全恢复，术后胫骨前移（ATT）增加。术后移植物破裂率似乎更倾向于骨 - 髌腱 - 骨（BPTB）和股四头肌肌腱（QT）自体移植物，而非腘绳肌腱（HT）或同种异体移植物。虽然不同移植物类型之间恢复运动的比例似乎相当，但BPTB和QT患者术后伸肌力量降低，而HT患者的屈肌力量减弱。BPTB术后供体部位发病率最高，但HT和QT之间相当。由于所有移植物选择都有优缺点，移植物的选择必须个体化，并根据患者情况进行选择。
