多关节膝关节损伤重建的移植选择:系统性审查
Joshi Amit1, Regmi Subhash1, Poudel Pranodan1
1AKB Center for Arthroscopy, Sports Injury, and Regenerative Medicine, Department of Orthopedics, B. & B. Hospital, Gwarko, Lalitpur, Nepal.
Indian journal of orthopaedics
|April 25, 2025
概括
这项系统性审查发现,腿筋肌自体移植是最适合前十字关节和后中间角重建的. 在多关节膝关节损伤中,对后侧十字关节和后侧角重建有好处.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 在重建中的生物材料.
背景情况:
- 多关节膝盖损伤往往需要复杂的重建技术.
- 对于重建多重带的最佳移植选择在现有文献中仍然不清楚.
- 需要进行系统审查,以综合当前关于多关节膝关节重建移植选项的证据.
研究的目的:
- 系统地审查和综合有关多关节膝关节重建的移植选项的现有文献.
- 在多带膝关节损伤的背景下,为特定带重建确定首选的移植类型.
- 为治疗复杂膝关节创伤的外科医生提供基于证据的见解.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 该审查已在PROSPERO (CRD42024498917) 中注册.
- 包括的研究符合多关节膝关节重建移植分析的预定义包含和排除标准.
主要成果:
- 包括16项涉及640名患者 (645名膝盖) 的研究.
- 组合移植策略 (自移植,合移植,合成) 在7项研究中是首选的.
- 对于前十字带 (ACL) 和后中间角 (PMC) 重建而言,自体移植是最受欢迎的,而对于后十字带 (PCL) 和后侧角 (PLC) 重建而言,全体移植是最受欢迎的.
结论:
- 经常使用腿筋肌自移植和肌移植.
- 移植选择因带而异,为ACL/PMC进行自移植,为PCL/PLC进行全移植.
- 支持这些移植选择在多关节膝关节重建中的证据具有中度至低强度.
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