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前交叉韧带断裂：重建、修复及未来发展的循证概念

Anterior Cruciate Ligament Rupture: Evidence-Based Concepts on Reconstruction, Repair and Future Developments.

作者信息

Thayaparan Anthony, Kantharuban Shanjitha

机构信息

Trauma and Orthopaedics, North West Thames Deanery, London, GBR.

出版信息

Cureus. 2024 Aug 27;16(8):e67956. doi: 10.7759/cureus.67956. eCollection 2024 Aug.

DOI:10.7759/cureus.67956
PMID:39328699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426957/
Abstract

The anterior cruciate ligament (ACL) is a vital but frequently injured structure. An ACL injury can result in dysfunction, meniscal injuries, and the early onset of osteoarthritis. This article aims to discuss favourable reconstruction techniques through a literature review with consideration for novel methods in order to identify superior methods that provide a patient's return to function. Current surgical options include reconstruction using different types of autografts and allografts.

摘要

前交叉韧带（ACL）是一个重要但经常受伤的结构。ACL损伤可导致功能障碍、半月板损伤和骨关节炎的早期发病。本文旨在通过文献综述讨论有利的重建技术，并考虑新方法，以确定能使患者恢复功能的更优方法。目前的手术选择包括使用不同类型的自体移植物和同种异体移植物进行重建。

相似文献

1
Anterior Cruciate Ligament Rupture: Evidence-Based Concepts on Reconstruction, Repair and Future Developments.前交叉韧带断裂：重建、修复及未来发展的循证概念
Cureus. 2024 Aug 27;16(8):e67956. doi: 10.7759/cureus.67956. eCollection 2024 Aug.
2
Meniscal Preservation is More Likely When Performed with Acute Anterior Cruciate Ligament Repair Rather Than with Anterior Cruciate Ligament Reconstruction.半月板保护在急性前交叉韧带修复时比前交叉韧带重建时更有可能。
Surg Technol Int. 2022 May 19;40:341-345. doi: 10.52198/22.STI.40.OS1574.
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Repeat Anterior Cruciate Ligament Injury and Return to Sport in Australian Soccer Players After Anterior Cruciate Ligament Reconstruction With Hamstring Tendon Autograft.前交叉韧带重建术后腘绳肌腱自体移植物重建后澳大利亚足球运动员前交叉韧带损伤和重返运动。
Am J Sports Med. 2022 Nov;50(13):3533-3543. doi: 10.1177/03635465221125467. Epub 2022 Oct 3.
4
Effect of graft choice on the outcome of revision anterior cruciate ligament reconstruction in the Multicenter ACL Revision Study (MARS) Cohort.在多中心前交叉韧带翻修研究（MARS）队列中，移植物选择对前交叉韧带翻修重建结果的影响。
Am J Sports Med. 2014 Oct;42(10):2301-10. doi: 10.1177/0363546514549005.
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Timing of anterior cruciate ligament reconstruction within the first year after trauma and its influence on treatment of cartilage and meniscus pathology.创伤后第一年内行前交叉韧带重建的时机及其对软骨和半月板病变治疗的影响。
Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):418-425. doi: 10.1007/s00167-015-3830-2. Epub 2015 Oct 16.
6
Study protocol: a single-blind, multi-center, randomized controlled trial comparing dynamic intraligamentary stabilization, internal brace ligament augmentation and reconstruction in individuals with an acute anterior cruciate ligament rupture: LIBRƎ study.研究方案：一项单盲、多中心、随机对照试验，比较急性前交叉韧带撕裂患者的动态关节内稳定、内部支具韧带增强和重建：LIBRƎ 研究。
BMC Musculoskelet Disord. 2019 Nov 18;20(1):547. doi: 10.1186/s12891-019-2926-0.
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Self-reported functional recovery after reconstruction versus repair in acute anterior cruciate ligament rupture (ROTOR): a randomized controlled clinical trial.急性前交叉韧带断裂重建与修复术后自我报告的功能恢复情况（ROTOR）：一项随机对照临床试验。
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Five-year clinical outcomes of a randomized trial of anterior cruciate ligament treatment strategies: an evidence-based practice paper.5 年随机对照试验治疗前交叉韧带策略的临床结果：循证实践论文。
J Athl Train. 2015 Jan;50(1):110-2. doi: 10.4085/1062-6050-49.3.53. Epub 2014 Oct 16.
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Twenty-year outcomes of a longitudinal prospective evaluation of isolated endoscopic anterior cruciate ligament reconstruction with patellar tendon autografts.髌腱自体移植单纯关节镜下前交叉韧带重建的纵向前瞻性评估20年结果
Am J Sports Med. 2015 Sep;43(9):2164-74. doi: 10.1177/0363546515591263. Epub 2015 Jul 17.
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The Incidence of Subsequent Meniscal Surgery Is Higher in the Anterior Cruciate Ligament-Reconstructed Knee Than in the Contralateral Knee.前交叉韧带重建膝关节中半月板后续手术的发生率高于对侧膝关节。
Am J Sports Med. 2017 Dec;45(14):3216-3222. doi: 10.1177/0363546517721685. Epub 2017 Aug 28.

本文引用的文献

1
A comparative study on 3D printing-assisted arthroscopic IDEAL point femoral tunnel positioning for anterior cruciate ligament reconstruction versus conventional arthroscopic positioning.3D 打印辅助关节镜 IDEAL 点股骨隧道定位在前交叉韧带重建中与传统关节镜定位的对比研究。
BMC Musculoskelet Disord. 2024 Jun 19;25(1):481. doi: 10.1186/s12891-024-07591-y.
2
Comparison of Graft Type and Fixation Method in Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis Based on Randomized Control Studies.前交叉韧带重建中移植物类型和固定方法的比较：基于随机对照研究的系统评价和荟萃分析。
JBJS Rev. 2024 Apr 4;12(4). doi: e23.00222. eCollection 2024 Apr 1.
3
Current development in surgical techniques, graft selection and additional procedures for anterior cruciate ligament injury: a path towards anatomic restoration and improved clinical outcomes-a narrative review.前交叉韧带损伤的手术技术、移植物选择及附加手术的当前进展：走向解剖学重建及改善临床结果的路径——一篇叙述性综述
Ann Jt. 2023 Sep 1;8:39. doi: 10.21037/aoj-23-39. eCollection 2023.
4
Analysis of Graft Types Augmented With an Internal Brace for ACL Reconstruction: A Systematic Review.分析使用内置支具增强的移植物类型在 ACL 重建中的应用：系统综述。
Am J Sports Med. 2024 Jul;52(9):2415-2423. doi: 10.1177/03635465231196157. Epub 2024 Jan 25.
5
Patient specific instrumentation in ACL reconstruction: a proof-of-concept cadaver experiment assessing drilling accuracy when using 3D printed guides.在 ACL 重建中使用患者特异性器械：使用 3D 打印导板评估钻孔准确性的尸体实验。
Arch Orthop Trauma Surg. 2024 Jan;144(1):289-296. doi: 10.1007/s00402-023-05072-w. Epub 2023 Sep 29.
6
Double-Versus Single-Bundle Anterior Cruciate Ligament Reconstructive Surgery: A Prospective Study With >1 Year Follow-Up.双束与单束前交叉韧带重建手术：一项随访超过1年的前瞻性研究
Cureus. 2023 Aug 1;15(8):e42829. doi: 10.7759/cureus.42829. eCollection 2023 Aug.
7
Early Complication Analysis of Dynamic Intraligamentary Stabilization versus Anterior Cruciate Ligament Reconstruction.动态韧带内稳定术与前交叉韧带重建术的早期并发症分析
J Pers Med. 2023 Jun 21;13(7):1022. doi: 10.3390/jpm13071022.
8
Bridge-Enhanced Anterior Cruciate Ligament Repair Is Not Inferior to Autograft Anterior Cruciate Ligament Reconstruction at 2 Years: Results of a Prospective Randomized Clinical Trial.桥接增强前交叉韧带修复并不逊于自体移植物前交叉韧带重建 2 年的结果：一项前瞻性随机临床试验。
Am J Sports Med. 2020 May;48(6):1305-1315. doi: 10.1177/0363546520913532. Epub 2020 Apr 16.
9
Autograft or allograft for reconstruction of anterior cruciate ligament: a health economics perspective.自体移植物或同种异体移植物重建前交叉韧带：健康经济学视角。
Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1782-1790. doi: 10.1007/s00167-019-05436-z. Epub 2019 Mar 14.
10
Allograft tendons are a safe and effective option for revision ACL reconstruction: a clinical review.同种异体肌腱是一种安全有效的前交叉韧带重建翻修选择：临床综述。
Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1771-1781. doi: 10.1007/s00167-018-5147-4. Epub 2018 Sep 21.