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在ACL重建18年后,膝盖曲强度降低,用腿筋肌与关节肌进行重建

Marko Popovic¹, Julie Rike Myhre², Julie Iren Haugseth Holen²

¹Department of Orthopedics, Trondheim University Hospital, Trondheim, Norway.

The American journal of sports medicine

|September 2, 2024

概括

在前十字带 (ACL) 重建18年后,腿筋肌移植显示,与骨肌骨 (BPTB) 移植相比,膝盖屈曲强度降低. 然而,这两种移植类型在稳定性和骨关节炎发展方面表现出类似的长期结果.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
运动医学运动医学

背景情况:

骨肌骨 (BPTB) 和腿筋肌移植是前十字带 (ACL) 重建的常见选择.
虽然短期和中期研究显示了可比的结果,但比较这些移植的长期数据是有限的.

研究的目的:

为了比较使用BPTB或腿筋肌移植的ACL重建的长期 (18年) 结果.

主要方法:

一项随机对照试验 (第二级证据) 涉及114名患有ACL破裂的患者.
患者被随机分配到接受BPTB或腿筋肌移植.
在18年的随访中,评估了前膝松 (主要结果),临床检查,异动力学肌肉强度,患者报告的结果和放射性骨关节炎.

主要成果:

在前膝松,临床检查,患者报告的结果或放射性骨关节炎方面,在BPTB和腿筋组之间没有发现显著差异.
18岁后的异动力学测试显示,在腿筋移植组与BPTB组相比,腿筋移植组的平均峰值曲扭矩 (10.7%) 和总曲工作 (17.2%) 在60度/秒的 BPTB组显著降低.

结论:

18年后,用于ACL重建的腿筋肌移植与与BPTB移植相比,膝盖曲强度显著降低有关.
尽管强度不同,但两种移植类型的长期主观结果,膝盖松和骨关节炎的发展都相似.

关键词:

前十字带的前十字带.腿筋肌腿筋肌状肌状肌状肌

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