University of Kentucky School of Medicine.
Arthroscopy. 2024 Sep;40(9):2465-2467. doi: 10.1016/j.arthro.2024.02.022. Epub 2024 Feb 27.
High rates of graft failure after primary anterior cruciate ligament reconstruction (ACLR) and the need for revision ACLR continue to be a challenge. Multiple studies demonstrate graft failure rates and the need for revision ACLR in 10% to 15% of young patients participating in pivot sporting activities. Currently, a wide range of strategies to mitigate this is problem being investigated, including extra-articular augmentation (with modified lateral extra-articular tenodesis or anterolateral ligament reconstruction) and intra-articular fixation (that aim for primary anterior cruciate ligament healing or augmentation of an ACLR with suture tape). While the early data on suture tape augmentation of primary ACLR seem optimistic, it does not justify its routine use.
初次前交叉韧带重建（ACLR）后移植物失败率高，需要再次进行 ACLR，这仍然是一个挑战。多项研究表明，在参与枢轴运动的年轻患者中，移植物失败率和需要再次进行 ACLR 的比例为 10%至 15%。目前，正在研究多种策略来减轻这个问题，包括关节外增强（改良外侧关节外束状固定术或前外侧韧带重建）和关节内固定（旨在实现初次前交叉韧带愈合或用缝线带增强 ACLR）。虽然初次 ACLR 中缝线带增强的早期数据看起来很乐观，但这并不能证明其常规使用是合理的。
