前交叉韧带重建中自体移植物直径术前评估的研究进展  

Updates in preoperative assessment of autograft diameter for reconstruction of anterior cruciate ligament

作　　者：靳锡鑫 茅泳涛[1] Jin Xixin;Mao Yongtao(Joint Surgery Department,The Second Affiliated Hospital of Soochow University,Soochow 215006,China)

机构地区：[1]苏州大学附属第二医院关节外科,苏州215006

出　　处：《中华创伤骨科杂志》2024年第3期267-271,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：前交叉韧带(ACL)重建时自体移植物的直径对重建效果至关重要。建议自体移植物直径至少为8 mm,以避免移植肌腱再次断裂。腘绳肌腱自体移植物因其与ACL相似的生物力学特性、更少的并发症和更好的中远期疗效而广受欢迎。但是肌腱的长度和直径无法控制,增加了术中手术的不确定性。本研究对从自身个体数据测量、术前多排CT及CT三维重建成像检查、术前超声检查、术前磁共振成像检查等方面来预测移植物直径的最新进展进行文献综述,以期为术前移植物直径评估提供依据,从而更好地进行术前评估。The autograft diameter is crucial to a successful reconstruction of anterior cruciate ligament(ACL).It is recommended that the autograft diameter should be at least 8 mm to avoid the risk of re-rupture of the transplanted tendon.Hamstring tendon autografts are popular due to their biomechanical properties similar to those of the ACL,fewer complications,and better mid-to-long term effectiveness.However,the uncontrollable length and diameter of the tendon add intraoperative uncertainty to the surgery.This review explored the latest advances in predicting the graft diameter from measurement of individual data,preoperative multi-row CT and three-dimensional CT imaging,preoperative ultrasonic probe detection,and preoperative magnetic resonance imaging inspection,providing a basis to facilitate preoperative assessment of the graft diameter.

关 键 词：前交叉韧带 自体移植物 直径 术前评估 

分 类 号：R687.4[医药卫生—骨科学]