镜下前交叉韧带重建术中止血带应用的探讨

随着人们运动意识水平的增强和社会交通的快速发展,关节损伤患者的数量也大幅增加,而前交叉韧带(ACL)损伤是关节损伤中最常见的韧带损伤。目前治疗ACL损伤的标准手术方式是在关节镜下使用止血带进行前交叉韧带重建手术(ACLR),在ACLR中使用止血带可以减少患者出血,为术者提供一个清晰的手术视野,可为手术提供极大的便利,但止血带的使用并非没有弊端,在骨科快速康复趋势以及患者对术后康复要求提高的情况下,止血带使用所带来的并发症引起了越来越多的关注,为降低止血带并发症的发生,提高患者术后舒适度,加速康复进程,学者们不断探讨如何精准安全的使用止血带。本文为止血带在关节镜下ACLR术中的应用现状、利弊以及应用趋势等作一综述。

Tourniquet use during anterior cruciate ligament reconstruction under arthroscopy

With the increase of People's awareness of sports and the rapid development of social transportation,the number of patients with joint injury has also increased significantly,and anterior cruciate ligament(ACL)injury is the most common ligament injuries.The standard surgical method for ACL injury is to use tourniquet for anterior cruciate ligament reconstruction(ACLR)under arthroscopy.Using tourniquet in ACLR can reduce intraoperative bleeding,remain a surgeon s field of clear vision and provide great convenience for the operation.However,with the trend of rapid rehabilitation in orthopedics and the improvement of patients requirements for postoperative rehabilitation,the complications caused by using tourniquet during operation have attracted more and more attention.In order to reduce the occurrence of tourniquet complications,improve postoperative comfort and accelerate the rehabilitation process,the scholars continue to explore how to use tourniquet accurately and safely.This paper reviews the application status,advantages,disadvantages and application trend of tourniquet in arthroscopic ACLR.