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一项关于使用腘绳肌与腓骨肌腱移植物进行关节镜下前交叉韧带重建的临床及功能结果的研究。

A Study on Clinical and Functional Outcomes of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring versus Peroneus graft.

作者信息

Gandhi Malay P, Patel Nil Kumar R, Shah Kshemankar K, Shah Rushit M, Shah Malkesh D

机构信息

Dhiraj Hospital, Smt BK Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.

出版信息

J Orthop Case Rep. 2024 Dec;14(12):208-215. doi: 10.13107/jocr.2024.v14.i12.5076.

DOI:10.13107/jocr.2024.v14.i12.5076
PMID:39669050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11632509/
Abstract

INTRODUCTION

Anterior cruciate ligament (ACL) injury is the most common for athletes.

MATERIALS AND METHODS

ACL injury reconstruction is a pivotal surgical intervention aimed at restoring knee stability and function following ligamentous trauma.

SURGICAL TECHNIQUE

Advances in surgical techniques and rehabilitation protocols have significantly improved outcomes and patient recovery rates. This paper reviews current trends, outcomes, and future directions in ACL reconstruction using peroneus longus and hamstring grafts and emphasizing innovations in surgical approaches and rehabilitation strategies.

CONCLUSION

Peroneus longus grafts offer superior outcomes compared to hamstring grafts for ACL reconstruction. They provide enhanced graft strength and stability, potentially reducing the risk of re-injury. In addition, their use can lead to quicker recovery times and improved functional results for patients.

摘要

引言

前交叉韧带（ACL）损伤是运动员中最常见的损伤。

材料与方法

ACL损伤重建是一种关键的外科手术干预，旨在恢复韧带损伤后膝关节的稳定性和功能。

手术技术

手术技术和康复方案的进步显著改善了治疗效果和患者恢复率。本文回顾了使用腓骨长肌和腘绳肌移植物进行ACL重建的当前趋势、治疗效果及未来方向，并着重介绍了手术方法和康复策略的创新。

结论

与腘绳肌移植物相比，腓骨长肌移植物在ACL重建中具有更好的治疗效果。它们提供了更强的移植物强度和稳定性，可能降低再次受伤的风险。此外，使用腓骨长肌移植物可使患者恢复时间更快，功能恢复更好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/11632509/f603ca39972c/JOCR-14-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/11632509/65556803d837/JOCR-14-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/11632509/f603ca39972c/JOCR-14-208-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/11632509/65556803d837/JOCR-14-208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d98/11632509/f603ca39972c/JOCR-14-208-g002.jpg

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本文引用的文献

1
Tunnel Placement for the ACL During Reconstructive Surgery of the Knee: A Critical Analysis Review.膝关节重建手术中前交叉韧带隧道的放置：一项批判性分析综述
JBJS Rev. 2014 Apr 15;2(4). doi: 10.2106/JBJS.RVW.M.00054.
2
Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study.前交叉韧带撕裂与重建的发病率：一项基于人群的21年研究。
Am J Sports Med. 2016 Jun;44(6):1502-7. doi: 10.1177/0363546516629944. Epub 2016 Feb 26.
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Basic science of anterior cruciate ligament injury and repair.前交叉韧带损伤与修复的基础科学。
Bone Joint Res. 2014 Feb 4;3(2):20-31. doi: 10.1302/2046-3758.32.2000241. Print 2014.
4
The advantage of arthroscopic anterior cruciate ligament reconstruction with autograft from the tendons of the semitendinosus - gracilis muscles for the recovery of the stability of the knee.采用半腱肌-股薄肌肌腱自体移植进行关节镜下前交叉韧带重建以恢复膝关节稳定性的优势。
Maedica (Bucur). 2011 Apr;6(2):109-13.
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The anatomic approach to primary, revision and augmentation anterior cruciate ligament reconstruction.前交叉韧带初次、翻修和增强重建的解剖学方法。
Knee Surg Sports Traumatol Arthrosc. 2010 Sep;18(9):1154-63. doi: 10.1007/s00167-010-1191-4. Epub 2010 Jun 9.
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A systematic review of the femoral origin and tibial insertion morphology of the ACL.前交叉韧带股骨起源和胫骨附着点形态的系统评价
Knee Surg Sports Traumatol Arthrosc. 2009 Mar;17(3):213-9. doi: 10.1007/s00167-008-0709-5. Epub 2009 Jan 13.
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Osteoarthritis in patients with anterior cruciate ligament rupture: a review of risk factors.前交叉韧带断裂患者的骨关节炎：危险因素综述
Knee. 2009 Aug;16(4):239-44. doi: 10.1016/j.knee.2008.11.004. Epub 2008 Dec 20.
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Osseous landmarks of the femoral attachment of the anterior cruciate ligament: an anatomic study.前交叉韧带股骨附着点的骨性标志：一项解剖学研究。
Arthroscopy. 2007 Nov;23(11):1218-25. doi: 10.1016/j.arthro.2007.09.008.
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ACL reconstruction: a meta-analysis of functional scores.前交叉韧带重建：功能评分的荟萃分析
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