Noyes F R, Butler D L, Paulos L E, Grood E S
Clin Orthop Relat Res. 1983 Jan-Feb(172):71-7.
All of the factors discussed here hopefully will increase the success rate of future intra-articular grafts. But it should not be supposed that the ideal ACL substitution answer is immediately forthcoming. Past experience points to the inherent difficulty of any potential solution and the need to progress in a rigorous scientific manner in the evaluation of the next wave of ligament substitutes. This article reports the utilization of an immediate protective motion program to avoid the problems of postoperative stiffness and lack of knee extension. It can not be stated with certainly whether the same program can be applied to free grafts or to those obtained from other sites. However, the avoidance of these problems will significantly lessen the morbidity of intra-articular reconstruction. The utilization of a vascularized patellar tendon hopefully will add another dimension to ACL replacement.
这里讨论的所有因素有望提高未来关节内移植的成功率。但不应认为理想的前交叉韧带替代方案会马上出现。过去的经验表明任何潜在解决方案都存在固有困难，并且在评估下一波韧带替代物时需要以严谨的科学方式取得进展。本文报道了采用即时保护性运动方案以避免术后僵硬和膝关节伸展受限的问题。尚不能确定同样的方案是否适用于游离移植或取自其他部位的移植。然而，避免这些问题将显著降低关节内重建的发病率。采用带血管蒂的髌腱有望为前交叉韧带置换增添新的维度。
