前交叉韧带重建中的移植物选择：当前趋势的全面综述
Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends.
作者信息
Ostojic Marko, Indelli Pier Francesco, Lovrekovic Bruno, Volcarenghi Jerome, Juric Doria, Hakam Hassan Tarek, Salzmann Mikhail, Ramadanov Nikolai, Królikowska Aleksandra, Becker Roland, Prill Robert
机构信息
Sports Traumatology Division, Traumatology Department Draskoviceva, University Hospital "Sestre Milosrdnice", 10000 Zagreb, Croatia.
Osteon Orthopedics and Sports Medicine Clinic, 88000 Mostar, Bosnia and Herzegovina.
出版信息
Medicina (Kaunas). 2024 Dec 20;60(12):2090. doi: 10.3390/medicina60122090.
Abstract
Anterior cruciate ligament (ACL) injuries are common in sports and often require surgical intervention, e.g., ACL reconstruction (ACLR), aimed at restoring knee stability and enabling a return to pre-injury activity levels. The choice of graft is crucial, impacting biomechanical properties, clinical outcomes, and complication rates, and is especially important in revision surgeries after graft failure. Over the past 30 years, trends in graft selection have evolved towards more individualized approaches, considering factors such as patient activity level, prior injuries, and tissue availability. In Europe, autografts like hamstring tendon (HT), bone-patellar tendon-bone (BTB), and quadriceps tendon (QT) are preferred, with the increasing use of QT grafts. This review synthesizes the current literature on graft selection and its influence on ACLR outcomes.
摘要
前交叉韧带（ACL）损伤在体育运动中很常见，通常需要手术干预，例如ACL重建（ACLR），旨在恢复膝关节稳定性并使患者恢复到受伤前的活动水平。移植物的选择至关重要，会影响生物力学性能、临床结果和并发症发生率，在移植物失败后的翻修手术中尤为重要。在过去30年中，移植物选择的趋势已朝着更个体化的方法发展，考虑了患者活动水平、既往损伤和组织可用性等因素。在欧洲，自体移植物如腘绳肌腱（HT）、骨-髌腱-骨（BTB）和股四头肌肌腱（QT）更受青睐，QT移植物的使用也在增加。本综述综合了当前关于移植物选择及其对ACLR结果影响的文献。
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Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends.前交叉韧带重建中的移植物选择：当前趋势的全面综述
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2
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本文引用的文献
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Peroneus Longus vs Hamstring Tendon Autografts in ACL Reconstruction: A Comparative Study of 106 Patients' Outcomes.腓骨长肌肌腱与腘绳肌腱自体移植物在 ACL 重建中的比较：106 例患者结局的对比研究。
Med Sci Monit. 2024 Oct 26;30:e945626. doi: 10.12659/MSM.945626.
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Modified Bridge-Enhanced Anterior Cruciate Ligament Repair.改良桥接增强前交叉韧带修复术
Arthrosc Tech. 2024 May 24;13(9):103034. doi: 10.1016/j.eats.2024.103034. eCollection 2024 Sep.
3
Hamstring autografts demonstrate either similar or inferior outcomes to quadriceps or bone-patellar tendon-bone autografts in revision anterior cruciate ligament reconstruction: A systematic review of comparative studies.在翻修前交叉韧带重建中，腘绳肌自体移植物与股四头肌或骨-髌腱-骨自体移植物相比，疗效相似或较差：一项比较研究的系统评价。
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The Efficacy of Anterior Cruciate Ligament Reconstruction with Peroneus Longus Tendon and its Impact on Ankle Joint Function.前交叉韧带重建中使用腓骨长肌腱的疗效及其对踝关节功能的影响。
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