在前十字关节的初级修复后进行亲子受理
Murat Ciceklidag1, Ibrahim Kaya2, Tacettin Ayanoglu3
1Department of Orthopaedics and Traumatology, Yenimahalle Training and Research Hospital, Yenimahalle, Ankara, Turkey.
The American journal of sports medicine
|April 1, 2024
概括
主要前十字带 (ACL) 修复在选定的患者中比重建更好地保持膝关节自觉. 这种技术可能为膝盖感觉和手术后关节位置感觉提供优势.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 生物力学 生物力学
背景情况:
- 前十字带 (ACL) 损伤显著损害膝盖自觉和关节位置感.
- 主要的ACL修复保留了天然的ACL组织,与用肌移植重建相比,可能提供更好的膝盖感觉.
研究的目的:
- 在临床结果和自身感知方面,比较关节镜ACL初级修复与ACL重建.
- 为了测试这一假设,初级修复恢复膝关节自觉更有效地由于保留本土的ACL.
主要方法:
- 一项队列研究 (第三级证据) 评估了63名患者 (29名初级修复,34名重建) 和33名健康对照.
- 通过在举重时使用活跃的关节位置感觉来评估自身感知,测量膝盖曲15°,30°和60°的偏差角度.
- 初级修复的患者有适合茎质量的近端大腿突起撕裂;其他人通过腿筋自移植进行了重建.
主要成果:
- 经过手术的膝盖在所有测量的屈曲角度 (P < .001) 中,与初级修复组相比,重建组的偏差角度显著更大.
- 初级修复组的偏差角度为1.00°,1.00°和1.33°在15°,30°和60°,而重建时为2.83°,2.66°和2.66°.
- 在初级修复和重建组之间没有观察到临床评分的显著差异.
结论:
- 初级ACL修复可以在经过精心挑选的患者中保持自身感应,这些患者有近端股骨突破撕裂和足够的茎质量.
- 短期随访表明,初级修复是自感保护性的.
- 需要进一步的研究,以确定在更大的患者队列中长期的自身感受效应.
更多相关视频
08:30Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications
Published on: April 30, 2014
11.4K
06:27Author Spotlight: Investigating Early Events and Long-Term Effects of ACL Injuries for Osteoarthritis Progression
Published on: September 29, 2023
699
相关概念视频
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K
01:23Knee Joint
1.8K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.8K