在前交叉带重建中对移植选择的生物力学考虑
Mark T Banovetz1, Nicholas I Kennedy2, Robert F LaPrade2
1University of Minnesota Medical School, Minneapolis, MN, USA.
Annals of joint
|March 26, 2024
概括
了解前十字带 (ACL) 移植生物力学对于膝盖重建至关重要. 本综述将原生ACL特性与常见的自移植和异移植选项进行比较,以告知外科移植选择.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 运动医学 运动医学
背景情况:
- 前十字带 (ACL) 损伤很普遍,通常需要手术重建.
- 有许多移植方案,每个都有不同的生物力学特性和临床结果.
- 移植选择涉及诸如自移植与全移植以及收获地点等因素.
研究的目的:
- 审查和讨论本地ACL的生物力学特征.
- 为了将它们与常用的ACL移植标本 (自移植和异移植) 进行比较.
- 突出ACL重建中移植选择的生物力学影响.
主要方法:
- 在ACL移植的生物力学研究的文献综述.
- 应力,张力,刚性,模和最终负载到故障的分析.
- 与原生ACL属性的比较 骨 - 肌 - 骨 (BTB),腿筋肌 (HT),四头肌 (QT) 自体移植和全体移植.
主要成果:
- 详细的生物力学数据 (压力,应变,刚性等) 为本土的ACL和各种移植物呈现.
- 讨论了自体移植和异体移植之间的生物机械差异.
- 考虑了单捆与双捆修复技术的影响.
结论:
- 信息化的移植选择需要了解每个选项的生物力学特性.
- 在膝关节稳定中,ACL的生物力学作用至关重要.
- 在选择最佳的ACL移植时,外科医生必须权衡生物力学数据.
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