中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (31): 5858-5861.doi: 10.3969/j.issn.1673-8225.2011.31.038

• 器官移植学术探讨 academic discussion of organ transplantation • 上一篇    下一篇

前交叉韧带移植物选择及重建中的相关问题

李  梁，赵  辉，吴海山   

  1. 上海长征医院骨科，上海市  200003
  • 收稿日期:2011-04-19 修回日期:2011-05-28 出版日期:2011-07-30 发布日期:2011-07-30
  • 通讯作者: 吴海山，博士生导师，主任医师，教授，上海长征医院骨科，上海市200003 drisland@vip. sina.com
  • 作者简介:李梁★，男， 1982年生，浙江省宁波市人，汉族，解放军第二军医大学在读硕士，医师，主要从事关节外科方面的研究。 liliang821004@ hotmail.com

Selection and reconstruction of anterior cruciate ligament graft

Li Liang, Zhao Hui, Wu Hai-shan   

  1. Department of Orthopedics, Shanghai Changzheng Hospital, Shanghai   200003, China
  • Received:2011-04-19 Revised:2011-05-28 Online:2011-07-30 Published:2011-07-30
  • Contact: Wu Hai-shan, Doctoral supervisor, Chief physician, Professor, Department of Orthopedics, Shanghai Changzheng Hospital, Shanghai 200003, China drisland@vip.sina. com
  • About author:Li Liang★, Studying for master’s degree, Physician, Department of Orthopedics, Shanghai Changzheng Hospital, Shanghai 200003, China liliang821004@ hotmail.com

PDF

273

被引次数

14

摘要：

背景：前交叉韧带移植物的选择受到多种因素的影响和制约，目前仍然存在争议。
目的：综述近期前交叉韧带重建移植物的选择及相关进展。
方法：由第一作者检索1995/2009 PubMed数据与维普数据库有关前交叉韧带重建中单、双束重建的比较，移植物选择，前交叉韧带损伤与骨关节炎相关性及前交叉韧带重建与本体感觉功能恢复相关性的文献。
结果与结论：在前交叉韧带重建中，单束与双束重建在临床疗效上目前并无显著差别；在移植物的选择上，目前仍然存在争议，骨-髌腱-骨以及四股腘绳肌自体移植物仍为前交叉韧带重建中的首选，带骨或不带骨的股四头肌肌腱、各种异体移植物和人工肌腱也逐渐被广泛使用于临床。从目前的各种报道分析，发生早期骨关节炎的危险因素中最重要的是半月板损伤，而非前交叉韧带损伤；对于施行前交叉韧带重建的患者，在治疗过程中应同时重视本体感觉功能的恢复。

关键词: 前交叉韧带, 重建, 移植物, 骨关节炎, 本体感觉

Abstract:

BACKGROUND: Selection of anterior cruciate ligament graft is influenced by many factors and disputation exists. 
OBJECTIVE: To review the selection of anterior cruciate ligament graft and research progress in recent years.
METHODS: A computer-based retrieval was performed by the first author in PubMed and Weipu databases to search papers addressing single-bundle technique versus double-bundle technique for anterior cruciate ligament reconstruction, graft selection, correlation between anterior cruciate ligament injury and osteoarthritis, and the correlation between anterior cruciate ligament reconstruction and proprioceptive sensibility recovery.
RESULTS AND CONCLUSION: In the reconstruction of anterior cruciate ligament, there was no significant difference in clinical effects between single-bundle and double-bundle techniques. More disputations regarding graft selection exist. Bone-patellar tendon-bone and four-strand hamstring tendon autograft are presently preferred for anterior cruciate ligament reconstruction. Quadriceps femoris tendon with or without bone, various allografts and artificial tendons are also gradually been used in the clinic. Meniscus injury, but not anterior cruciate ligament injury, is the most important risk factors for early osteoarthritis. For patients who undergo anterior cruciate ligament construction, proprioceptive sensibility recovery should be paid more attention during the process of therapy.

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