前十字韧带全内重建技术中国专家共识(2023年版)  

Chinese expert consensus on reconstruction of anterior cruciate ligament with all-inside technique(2023 version)

作　　者：中华医学会运动医疗分会下肢运动创伤学组 中国医师协会运动医学医师分会 徐卫东 教英芳 冯建豪 赵其纯 毕擎 邢更彦 王健全 Lower Limb Sports Traumatology Group of Chinese Society of Sports Medicine;Sports Medicine Doctor Society of Chinese Medical Doctor Association

机构地区：[1]不详

出　　处：《中华骨科杂志》2023年第24期1631-1640,共10页Chinese Journal of Orthopaedics

基　　金：上海市体育科技"备战攻关"项目(24J001)。

摘　　要：前十字韧带(anterior cruciate ligament,ACL)损伤是一种常见的膝关节运动性损伤,可导致膝关节功能受损,继发半月板和关节软骨损伤。随着国内全民体育活动参与度的提高,ACL损伤逐渐呈现高发病率、低龄化及高治疗费用的趋势。ACL重建能有效恢复膝关节稳定性和运动功能,是目前首选的ACL损伤治疗方式。其中,ACL全内重建技术更符合现代ACL损伤治疗的个体化、微创化和精细化原则,已在临床上推广应用。但关于ACL全内重建的手术指征、技术要点、儿童和青少年患者的适用性和康复方案等临床问题,目前尚无相关共识。为普及和规范ACL全内重建技术,由中华医学会运动医疗分会下肢运动创伤学组、中国医师协会运动医学医师分会和中华骨科杂志编辑部发起,汇总当前的循证医学证据以及我国ACL损伤诊治的特点和临床经验,基于改良Delphi法组织国内运动医学和骨科领域专家制订了《前十字韧带全内重建技术中国专家共识(2023年版)》。共识针对ACL全内重建技术临床应用中存在的问题提出了15条建议,旨在为ACL全内重建技术的规范化应用提供指导和参考。Anterior cruciate ligament(ACL)injury is a common knee sports injury,resulting in compromised knee function and subsequent meniscus and articular cartilage damage.With the increase of national participation in sports activities in China,ACL injuries are gradually showing a trend of high incidence,low age,and high treatment costs.ACL reconstruction can effectively restore the stability and motor function of the knee joint,which is the first choice of ACL injury treatment at present.Among them,the all-inside ACL reconstruction technique is more in line with the principles of individualization,minimally invasive and meticulousness in the modern ACL injury treatment,which has been popularized and applied in clinic.However,there is no consensus on clinical issues such as surgical indications,technical points,applicability to pediatric and adolescent patients,and rehabilitation protocols for the all-inside ACL reconstruction technique.In order to popularize and standardize the all-inside ACL reconstruction technique,initiated by the Lower Limb Sports Traumatology Group of Chinese Society of Sports Medicine,Sports Medicine Doctor Society of Chinese Medical Doctor Association,and the editorial office of the Chinese Journal of Orthopaedics organized this review to summarize the current evidence-based medical evidence,the characteristics and clinical experience of ACL injury diagnosis and treatment in China.Based on the modified Delphi method,experts in sports medicine and orthopaedic surgery from China developed the"Chinese expert consensus on reconstruction of anterior cruciate ligament with all-inside technique(2023 version)".The consensus put forward 15 recommendations for the problems in the clinical application of all-inside reconstruction of ACL,aiming to provide guidance and reference for the standardized application of the all-inside ACL reconstruction technique.

关 键 词：膝关节 前交叉韧带重建 关节镜检查 共识 

分 类 号：R687.3[医药卫生—骨科学]