前十字带重建失败的原因:一个回顾性的案例系列
Xiao Jin1, Zihan Lin2,3, Meiping Yang2
1Department of Chinese Medicine, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Medicine
|February 10, 2025
概括
创伤重伤是前十字带重建 (ACLR) 失败的主要原因. 精确的骨道位置对于成功的修复手术和改善ACLR程序中的患者结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 前十字带重建 (ACLR) 手术在中国正在增加.
- 了解ACLR失败是提高成功率的关键.
- 对于失败的ACLR病例,需要进行修复性手术.
研究的目的:
- 确定ACLR故障的主要原因.
- 评估在修订程序中的技术技能.
- 分析有助于ACLR修订的因素.
主要方法:
- 对65个ACLR修订案件 (2014年1月至2022年9月) 的回顾性分析.
- 数据包括成像,医疗记录和关节镜记录.
- 修改原因的分类:道放置,移植固定,重伤,移植失败,多重带损伤,感染.
主要成果:
- 创伤性重伤 (54.69%) 是ACLR失败的最常见原因.
- 不恰当的道布置 (18.75%) 和移植缺陷 (12.5%) 是重要的因素.
- 其他原因包括移植固定问题 (6.25%),感染 (7.81%) 和多重带损伤 (1.56%).
结论:
- ACLR故障是多因素的,创伤性重伤和道错位是主要问题.
- 精确的骨道位置对于成功的ACLR结果至关重要.
- 解决这些因素可以提高关节镜ACLR的疗效.
更多相关视频
05:44Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
Published on: October 20, 2023
2.0K
06:28Anterior Cruciate Ligament Transection and Synovial Fluid Lavage in a Rodent Model to Study Joint Inflammation and Posttraumatic Osteoarthritis
Published on: September 2, 2025
2.1K
相关概念视频
Hindsight Biases
Hindsight bias leads you to believe that the event you just experienced was predictable, even though it really wasn’t. In other words, you knew all along that things would turn out the way they did. Can you relate this to the phrase "Hindsight is 20/20" now?
Restarting Stalled Replication Forks
DNA replication is initiated at sites containing predefined DNA sequences known as origins of replication. DNA is unwound at these sites by the minichromosome maintenance (MCM) helicase and other factors such as Cdc45 and the associated GINS complex.The unwound single strands are protected by replication protein A (RPA) until DNA polymerase starts synthesizing DNA at the 5’ end of the strand in the same direction as the replication fork. To prevent the replication fork from falling apart, a...
Fixing Double-strand Breaks
The double-stranded structure of DNA has two major advantages. First, it serves as a safe repository of genetic information where one strand serves as the back-up in case the other strand is damaged. Second, the double-helical structure can be wrapped around proteins called histones to form nucleosomes, which can then be tightly wound to form chromosomes. This way, DNA chains up to 2 inches long can be contained within microscopic structures in a cell. A double-stranded break not only damages...
Restarting Stalled Replication Forks
DNA replication is initiated at sites containing predefined DNA sequences known as origins of replication. DNA is unwound at these sites by the minichromosome maintenance (MCM) helicase and other factors such as Cdc45 and the associated GINS complex.The unwound single strands are protected by replication protein A (RPA) until DNA polymerase starts synthesizing DNA at the 5’ end of the strand in the same direction as the replication fork. To prevent the replication fork from falling apart, a...
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Flashbulb Memory
A flashbulb memory is a highly vivid and detailed memory, often linked to events of significant emotional impact. These memories stand out in contrast to everyday memories due to their clarity and the precision with which they are recalled. The strong emotions associated with the event act as a catalyst, ensuring that specific details, such as one's location, actions, and even peripheral elements, are etched into memory with remarkable accuracy. For example, many people can vividly recall where...
