中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (51): 9659-9662.doi: 10.3969/j.issn.1673-8225.2010.51.037

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

膝关节韧带急性损伤修复中人工生物材料的运用

王  虹   

  1. 河南理工大学体育学院人体科学实验室,河南省焦作市  454000
  • 出版日期:2010-12-17 发布日期:2010-12-17
  • 作者简介:王虹★,女,1973年生,河南省辉县人,汉族,2005年北京体育大学毕业,硕士,副教授,主要从事运动训练与体育保健学研究。 sqh@hpu.edu.cn

Artificial biomaterials used for repair of acute knee ligament injury

Wang Hong   

  1. Laboratory of Human Science, College of Physical Education, Henan Polytechnic University, Jiaozuo   454000, Henan Province, China
  • Online:2010-12-17 Published:2010-12-17
  • About author:Wang Hong★, Master, Associate professor, Laboratory of Human Science, College of Physical Education, Henan Polytechnic University, Jiaozuo 454000, Henan Province, China sqh@hpu.edu.cn

摘要:

目的:分析膝关节韧带急性损伤生物力学特点,并对膝关节前交叉韧带损伤后人工生物材料干预下的治疗机制与康复手段进行分类与归纳。
方法:采用电子检索的方式,在万方数据库中检索1996-01/2010-10有关生物材料应用于膝关节前交叉韧带修复的研究文章,关键词为“组织工程,膝关节,韧带,生物材料”。
结果:膝关节是人体运动和负重的重要关节,也是落地缓冲的重要装置,由于运动中存在多种内外部因素致使膝关节前交叉韧带损伤较为常见。组织工程学人工韧带是目前研究的热点方向,人们在支架材料的选择和构建的具体方法,种子细胞的分离和培养方法,细胞因子和表面修饰的应用等方面做了大量的研究,目前运用人工材料治疗前后交叉韧带的康复手段日趋成熟和多样,但各种手段往往利弊犹存。
结论:虽然目前人工韧带还存在不足之处,还不是理想的移植物,不能完全代替交叉韧带,但是人工韧带为前交叉韧带重建提供了一种选择,是交叉韧带重建进展史中重要的一步,尤其在多种利弊犹存的生物学康复手段中,选择个体适宜的康复措施尤为必要。

关键词: 膝关节, 前交叉韧带, 损伤, 人工材料, 治疗

Abstract:

OBJECTIVE: To evaluate biomechanics characteristics of acute knee ligament injury, to classify and summarize the treatment mechanism and means of rehabilitation for anterior cruciate ligament injury and after the intervention of artificial biomaterials.
METHODS: An online search of Wanfang database from January 1996 to October 2010 was performed for articles related to the application of biomaterials for anterior cruciate ligament repair, with key words of “tissue engineering, knee joint, ligament, biomaterials” in Chinese.
RESULTS: The knee joint is an important joint for human movement and weight-bearing, also an important landing buffer device, due to several internal and external factors during the movement result in anterior cruciate ligament injury. Tissue engineering artificial ligament is the current research focus, a lot of researches investigate the selection and construction of scaffold materials, the methods of seed cells isolation and culture, cytokine and surface modification. At present, there are increasingly developed and various means of rehabilitation for anterior and posterior cruciate ligament using artificial materials, but they often have their advantages and disadvantages.
CONCLUSION: Although artificial ligament has deficiencies and is not an ideal graft to completely replace the ligament, the artificial ligament serves as an option for anterior cruciate ligament reconstruction, it is an important progress in the history of anterior cruciate ligament reconstruction, in particular, it is necessary to select appropriate individual rehabilitation among various biological means of rehabilitation with the advantages and disadvantages.

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