关节镜下前交叉韧带重建移植物固定方式选择的研究进展

前交叉韧带损伤是最常见的膝关节运动损伤之一,临床上治疗多采用关节镜下微创前交叉韧带重建术。目前临床上存在多种固定方式,如界面螺钉固定、皮质悬吊固定、横穿钉固定等,均能取得较好的固定效果,并各有其优缺点。然而重建移植物的愈合是一个复杂的长期过程,可受多种因素的影响,愈合各个阶段其力学性能也存在较大的变化,为术后康复增添了变数。

Progress on graft and fixation options of arthroscopic anterior cruciate ligament reconstruction

Anterior cruciate ligament injury is one of the most common injuries of knee joint. Arthroscopic reconstruction of anterior cruciate ligament is the most commonly performed procedure. A variety type of fixation techniques are being used nowadays,such as interference screw,cortical suspension fixation and transfix,all of which can achieve good effect,with both advantages and disadvantages. However,the healing of reconstructed grafts is a complicated and long-term process,which can be affected by many factors. The mechanical properties of the grafts are also changed greatly in all stages of healing process,adding variables for the post-operative rehabilitation.