LARS人工韧带在前交叉韧带重建术中应用的研究进展  

Clinical application of LARS artificial ligament in anterior cruciate ligament reconstruction:an update

作　　者：冯建豪 徐一宏 徐卫东 Feng Jianhao;Xu Yihong;Xu Weidong(Department of Orthopedics,Tongji Hospital,Tongji University,Shanghai 200065,China;Department of Joint Surgery,First Affiliated Hospital of Naval Medical University(Shanghai Changhai Hospital),Shanghai 200433,China)

机构地区：[1]同济大学附属同济医院骨科,上海200065 [2]海军军医大学第一附属医院(上海长海医院)关节骨病外科,上海200433

出　　处：《中华创伤杂志》2023年第8期756-762,共7页Chinese Journal of Trauma

基　　金：海军军医大学第一附属医院“234学科攀峰计划”项目(2020YXK002);海军军医大学第一附属医院“深蓝123”军事医学研究专项重点攻关项目(2019YSL007);海军军医大学第一附属医院“十四五”学科固海计划(GH145‑16)。

摘　　要：前交叉韧带(ACL)是维持膝关节稳定的重要结构之一,同时也是膝关节运动中最易损伤的结构。ACL损伤常导致患者膝关节不稳,阻碍患者重返运动,继发膝关节退行性病变。目前,临床上常选择自体移植物重建ACL,但存在取材范围有限、供区并发症、无法早期重返运动等问题。韧带增强重建系统(LARS)人工韧带具有来源广泛、无供区并发症、快速康复等优势,因而可避免自体移植物重建ACL的相关问题,近年来受到越来越多的关注。因此,笔者就LARS人工韧带的特点及其在ACL重建中应用的研究进展进行综述,为临床治疗ACL损伤提供参考。The anterior cruciate ligament(ACL)is one of the most crucial components to maintain knee joint stability and also the most vulnerable structure during knee‑related sports activities.ACL injuries often cause knee instability,difficulty in returning to sports,and secondary degenerative knee disease.Although using autograft to reconstruct the ACL is currently a popular choice in clinical settings,it has drawbacks such as limited autograft source,donor site morbidity and delayed return to sports.Ligament advanced reinforcement system(LARS)artificial ligament possesses unique advantages such as wide availability,no donor‑site morbidity,and early recovery,avoiding the problems associated with autograft reconstruction of ACL,and it has drawn increasing attention in recent years.In this paper,the authors reviewed the characteristics of LARS artificial ligament and its application in ACL reconstruction,so as to provide reference for clinical treatment of ACL injuries.

关 键 词：前交叉韧带重建 假体植入 膝关节 

分 类 号：R687.4[医药卫生—骨科学]