关节外加强在前交叉韧带损伤治疗中的研究进展  

Research progress in extra-articular reinforcement in the treatment of anterior cruciate ligament injuries

作　　者：叶梓鹏 徐俊杰 赵金忠[1] YE Zipeng;XU Junjie;ZHAO Jinzhong(Department of Sports Medicine,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院运动医学科,上海200233

出　　处：《中国研究型医院》2024年第1期23-28,共6页Chinese Research Hospitals

基　　金：上海市科学技术委员会(22dz1204700)。

摘　　要：膝关节前交叉韧带(ACL)损伤的患者常合并前外侧结构(ALS)损伤或功能障碍,单独行ACL重建不足以恢复膝关节静态和动态旋转稳定性。针对ALS的组成结构,学者们设计出以外侧关节外肌腱固定、前外侧韧带重建和ALS重建为代表的关节外加强术式。ACL重建高失效风险患者联合关节外加强,有助于改善膝关节旋转不稳,降低临床失效率。本文作者就近年来关节外加强的手术指征、常用术式、静力学效应、运动学效应、临床效果及潜在风险等研究进行综述。Patients with injured anterior cruciate ligament(ACL)injuries often present with concomitant anterior lateral structures(ALS)damage or dysfunction.Sole ACL reconstruction is insufficient to restore static and dynamic rotational stability of the knee joint.Scholars have designed extra-articular procedures targeting the components of ALS,incorporating lateral extra-articular tenodesis,anterior lateral ligament reconstruction,and ALS reconstruction.For ACL reconstruction in high risk of failure patients,combined extra-articular reinforcement aids in improving knee joint rotational stability and reducing clinical failure rates.The authors of this article provided a review of recent studies on surgical indications,commonly used techniques,static biomechanical effects,kinematic effects,clinical outcomes,and potential risks of extra-articular reinforcement.

关 键 词：膝关节损伤 前交叉韧带 前外侧结构 关节外加强 旋转稳定性 

分 类 号：R687.4[医药卫生—骨科学]