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在多韧带膝关节损伤情况下，使用强化生物诱导胶原蛋白支架增强前交叉韧带同种异体移植重建术。

Anterior Cruciate Ligament Allograft Reconstruction Augmented With a Reinforced, Bioinductive Collagen Scaffold in the Setting of Multiligamentous Knee Injury.

作者信息

Bi Andrew S, Hughes Andrew J, Savage-Elliott Ian, Lowe Dylan, Meislin Robert J

机构信息

NYU Langone Orthopedic Center, Department of Orthopedic Surgery, Division of Sports Medicine, New York, New York, U.S.A.

出版信息

Arthrosc Tech. 2024 Jan 1;13(2):102865. doi: 10.1016/j.eats.2023.09.034. eCollection 2024 Feb.

DOI:10.1016/j.eats.2023.09.034
PMID:38435259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10907961/
Abstract

The gold standard for surgical treatment of anterior cruciate ligament (ACL) injuries is reconstruction. There are a variety of graft options, from autograft to allograft, using bone-patellar tendon-bone (BTB), hamstrings, quadriceps, or Achilles, and, in the case of a multiligamentous knee injury (MLKI), allograft may be preferred to decrease operative time and graft harvest morbidity. The BioBrace (ConMed, New Haven, CT) is a bioinductive collagen scaffold designed to provide an environment for soft tissue remodeling with time zero biomechanical support and can be used to augment graft reconstructions in the case of concerns for allograft strength, healing, or width. The purpose of this Technical Note is to describe the technique for performing an ACL reconstruction with BioBrace-augmented allograft in the setting of a MLKI, with special consideration for 2 methods of graft preparation (BTB and soft tissue).

摘要

前交叉韧带（ACL）损伤手术治疗的金标准是重建。从自体移植物到同种异体移植物，有多种移植物选择，可使用骨-髌腱-骨（BTB）、腘绳肌、股四头肌或跟腱，并且，在多韧带膝关节损伤（MLKI）的情况下，同种异体移植物可能更受青睐，以减少手术时间和移植物获取的并发症。BioBrace（康美公司，纽黑文，康涅狄格州）是一种生物诱导性胶原支架，旨在为软组织重塑提供一个环境，同时提供零时生物力学支持，并且在对同种异体移植物强度、愈合或宽度存在担忧的情况下，可用于增强移植物重建。本技术说明的目的是描述在MLKI情况下使用BioBrace增强同种异体移植物进行ACL重建的技术，并特别考虑两种移植物制备方法（BTB和软组织）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/d20ef0ed1c41/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/20f814e0666f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/995dda3f6ed0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/df0c80a4cb5f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/d20ef0ed1c41/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/20f814e0666f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/995dda3f6ed0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/df0c80a4cb5f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79db/10907961/d20ef0ed1c41/gr4.jpg

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本文引用的文献

1
Small Hamstring Tendon Graft for Anterior Cruciate Ligament Reconstruction Combined With Anterolateral Ligament Reconstruction Results in the Same Failure Rate as Larger Hamstring Tendon Graft Reconstruction Alone.用于前交叉韧带重建的小腘绳肌腱移植物结合前外侧韧带重建与单独使用较大腘绳肌腱移植物重建的失败率相同。
Arthroscopy. 2023 Jul;39(7):1671-1679. doi: 10.1016/j.arthro.2023.01.101. Epub 2023 Feb 10.
2
Knee Medial Collateral Ligament Augmentation With Bioinductive Scaffold: Surgical Technique and Indications.生物诱导支架增强膝关节内侧副韧带：手术技术与适应证
Arthrosc Tech. 2022 Mar 16;11(4):e583-e589. doi: 10.1016/j.eats.2021.12.011. eCollection 2022 Apr.
3
Arthroscopic Rotator Cuff Repair Technique Using a Bio-Composite Scaffold for Tissue Augmentation.
使用生物复合支架进行组织增强的关节镜下肩袖修复技术
Arthrosc Tech. 2022 Mar 16;11(4):e517-e522. doi: 10.1016/j.eats.2021.12.001. eCollection 2022 Apr.
4
The Majority of Patients Aged 40 and Older Having Allograft Anterior Cruciate Ligament Reconstruction Achieve a Patient Acceptable Symptomatic State.大多数40岁及以上接受同种异体前交叉韧带重建的患者达到了患者可接受的症状状态。
Arthroscopy. 2022 May;38(5):1537-1543. doi: 10.1016/j.arthro.2021.09.024. Epub 2021 Oct 1.
5
Association Between Graft Choice and 6-Year Outcomes of Revision Anterior Cruciate Ligament Reconstruction in the MARS Cohort.移植选择与 MARS 队列中 6 年翻修前交叉韧带重建术后结果的相关性。
Am J Sports Med. 2021 Aug;49(10):2589-2598. doi: 10.1177/03635465211027170. Epub 2021 Jul 14.