膝关节后交叉韧带损伤的修复与重建

doi:10.3969/j.issn.2095-4344.2015.51.022

摘要/Abstract

摘要：

背景：膝关节后交叉韧带是维持膝关节稳定性的重要结构之一，损伤后引起膝关节稳定性下降，从而影响膝关节功能，严重可致膝关节病废。
目的：就膝关节后交叉韧带损伤的最新治疗进展进行讨论，旨在对膝关节后交叉韧带损伤的治疗有一个更好的理解。
方法：应用计算机检索万方数据库、中国知网和PubMed最近20年有关膝关节后交叉韧带损伤方面的文献，中文检索词为“后交叉韧带、韧带重建、损伤”，英文检索词为“Posterior cruciate ligament；ligament reconstruction；Injury”。
结果与结论：目前后交叉韧带重建的效果仍不如前交叉韧带的重建。后交叉韧带重建关键在于移植物的选择、骨道的定位、移植物植入张力及固定方法，与患者的依从性及术后康复锻炼也密切相关。目前的研究显示缺少有力的随机对照试验(RCT)来对比不同治疗方式的疗效。

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 组织构建, 组织工程, 后交叉韧带, 膝关节, 韧带重建, 膝损伤

Abstract:

BACKGROUND: The posterior cruciate ligament is one of the important structures to maintain the stability of the knee joint. When the posterior cruciate ligament is injured, the stability of the knee joint will decrease, thus impact the knee function and even lead to serious joint disability.
OBJECTIVE: To discuss the latest progress in the treatment of posterior cruciate ligament injury, aiming to have a better understanding about the treatment of posterior cruciate ligament injury.
METHODS: A computer-based online search of Wanfang, CNKI and PubMed databases was performed for articles related to posterior cruciate ligament injury published in the recent 20 years. The keywords were “posterior cruciate ligament; ligament reconstruction; injury” in Chinese and English, respectively.
RESULTS AND CONCLUSION: Currently, posterior cruciate ligament reconstruction has worse effects than anterior cruciate ligament reconstruction. Choice of grafts, location of the bone tunnel, implantation tension and fixation method are all crucial for the posterior cruciate ligament reconstruction. Additionally, patient’s compliance and postoperative rehabilitation exercises are also important influencing factors. Currently, there is a lack of adequate randomized controlled trials to compare the efficacy of different treatment modalities.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

中图分类号:

R318

哈斯鲁，刘利国，张谢卓，伊力哈木•托合提. 膝关节后交叉韧带损伤的修复与重建[J]. 中国组织工程研究, 2015, 19(51): 8322-8326.

Ha Si-lu, Liu Li-guo, Zhang Xie-zhuo, Yilihamu Tuoheti.

Posterior cruciate ligament injury: repair and reconstruction

[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(51): 8322-8326.

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