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基于患者特征和运动情况,一种用于重建前交叉韧带的移植物并不适合所有患者:一项综述。

One type of graft for reconstruction of the ACL does not suit all patients based on their characteristics and sports: a scoping review.

作者信息

Reinerink J M, Vendrig T, Keizer M N J, Hoogeslag R A G, Brouwer R W

机构信息

Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, UMCG Sector F, FA 23,Antonius Deusinglaan 1, PO Box 317, 9713 AV, Groningen, The Netherlands.

Centre for Orthopaedic Surgery and Sports Medicine OCON, Hengelo, The Netherlands.

出版信息

Musculoskelet Surg. 2025 Jun;109(2):115-125. doi: 10.1007/s12306-024-00861-x. Epub 2024 Sep 9.

Abstract

The selection of graft type for anterior cruciate ligament reconstruction remains a topic of debate, taking into consideration patient characteristics, as well as the type and level of sports involvement. The aim of this scoping review was to investigate patient characteristics that might influence the selection of graft type for anterior cruciate ligament reconstruction. PubMed and Scopus were searched to identify articles for inclusion. All included studies focused on one or more patient characteristics involved in the decision-making process regarding anterior cruciate ligament reconstruction autograft, including the hamstrings tendon (HT), patellar tendon (BPTB) and quadriceps tendon (QT). Out of the 1,977 initial studies, 27 studies were included in this review. The BPTB graft seems to be the preferred choice in young patients, females, and athletes-especially those engaged in pivoting sports. The HT graft seems to be the preferred choice in less active and older patients, along with those involved in sports where knee extensors are vital. The HT graft is not preferable in patients with a small body height and graft diameter. Moreover, surgeon preferences were also of importance for graft selection. The success of a specific graft type in anterior cruciate ligament reconstruction is highly dependent on the patient's characteristics and type of sport. Patient characteristics such as age, gender, body height, graft diameter, and the patient's activity level should all be considered when choosing the appropriate graft type.

摘要

考虑到患者特征以及运动参与的类型和程度,前交叉韧带重建移植物类型的选择仍然是一个有争议的话题。本范围综述的目的是调查可能影响前交叉韧带重建移植物类型选择的患者特征。检索了PubMed和Scopus以确定纳入的文章。所有纳入研究都聚焦于前交叉韧带重建自体移植物决策过程中涉及的一个或多个患者特征,包括腘绳肌腱(HT)、髌腱(BPTB)和股四头肌肌腱(QT)。在1977项初始研究中,本综述纳入了27项研究。髌腱移植物似乎是年轻患者、女性和运动员(尤其是从事旋转运动的运动员)的首选。腘绳肌腱移植物似乎是活动较少的老年患者以及那些参与膝关节伸肌至关重要的运动的患者的首选。对于身高较矮且移植物直径较小的患者,腘绳肌腱移植物并非首选。此外,外科医生的偏好对于移植物选择也很重要。特定移植物类型在前交叉韧带重建中的成功高度依赖于患者特征和运动类型。在选择合适的移植物类型时,应考虑患者的年龄、性别、身高、移植物直径和活动水平等特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8440/12122606/b6a544166935/12306_2024_861_Fig1_HTML.jpg

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