单捆关节镜前十字带重建的功能结果使用长骨移植和腿筋移植:一个开放标签,随机,比较研究
Samir Dwidmuthe1, Mainak Roy1, Suhas Aradhya Bhikshavarthi Math1
1Orthopaedics, All India Institute of Medical Sciences, Nagpur, Nagpur, IND.
Cureus
|June 14, 2024
概括
长腿 (PL) 移植在前十字带 (ACL) 重建方面表现有前途,因为与腿筋移植相比,其长度更长,捐赠部位问题更少. 然而,针对性康复对于PL移植的最佳力量恢复至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物材料科学 生物材料科学
背景情况:
- 前十字带 (ACL) 重建是一种常见的骨科手术.
- 移植选择显著影响功能结果.
- 长 (PL) 和腿筋移植是经常使用的替代方案.
研究的目的:
- 为了比较单捆关节镜ACL重建的功能结果,使用PL移植与腿筋移植.
- 为了评估移植的长度,手术时间和捐赠者部位的发病率.
- 评估患者报告的结果和膝盖稳定性.
主要方法:
- 开放式随机比较研究.
- 单捆关节镜ACL重建,使用PL或腿筋移植.
- 标准化手术技术和术后康复.
- 运动范围,稳定性和患者报告得分的评估 (VAS,IKDC,Tegner Lysholm).
主要成果:
- PL移植显著更长 (10.11毫米与8.77毫米相比),并与更短的操作时间相关.
- 在VAS,IKDC或Tegner Lysholm分数中,移植类型之间没有显著差异.
- PL移植收获没有显示出明显的足部软弱或捐赠部位发病率.
- 腿筋移植有更高的感觉改变和肌肉缩的发病率.
结论:
- 由于优越的长度和减少的捐赠部位并发症,PL移植在ACL重建中具有潜在的优势.
- 虽然功能评分相似,但PL移植需要量身定制的康复,以应对足部和脚力量的潜在波动.
- 腿筋移植可能与大腿肌肉缩和感官变化有关.
关键词:
前十字带的重建前十字带的重建关节镜检查 (arthroscopy) 是一种关节镜检查.脚和脚的脚和脚.腿筋移植 腿筋移植 腿筋移植长骨 (peroneus longus) 接种器 (graft) 是一个长骨的接种器.更多相关视频
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