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作为ACL和前侧侧重建组合的移植的直肌:生物力学评估

Marcos Barbieri Mestriner¹, Adam Reynolds², Bernardo Garcia Barrosso³

¹Knee Surgery Group, Department of Orthopedics and Traumatology, Medical Sciences College of Santa Casa de São Paulo, São Paulo, Brazil.

The American journal of sports medicine

|March 11, 2026

概括

腿直骨 (RF) 肌,当作为双链 (DRF) 或单链 (SRF) 移植时,表现出与传统的肌 (PT) 和带 (ITB) 移植相比的生物机械特性,用于前交叉带 (ACL) 和前侧带 (AL) 重建.

科学领域:

整形外科手术整形外科手术
生物机械工程生物机械工程
运动医学运动医学

背景情况:

腿直骨 (RF) 肌是联合前交叉带 (ACL) 和前侧带 (AL) 重建的潜在移植来源.
使用双链射频 (DRF) 用于ACL和单链射频 (SRF) 用于AL重建需要进一步的生物力学验证.
在ACL和AL重建方案中,RF肌移植的生物力学数据有限.

研究的目的:

为了生物机械地比较DRF移植与骨肌 (PT) 移植用于ACL重建.
为了生物机械地比较SRF移植与皮带 (ITB) 移植用于AL重建.
测试假设DRF移植属性与PT移植相似,SRF移植属性与ITB移植相似的假设.

主要方法:

使用8个新鲜冷的人类膝盖进行的受控实验室研究.
准备和测试四种移植类型:DRF,SRF,PT和ITB.
使用材料测试机器通过最终强度,弹性模量和最终拉伸应力来评估移植生物力学.

主要成果:

DRF和PT移植的最终强度明显高于ITB移植的最终强度 (P < .01).
与DRF和PT移植相比,SRF和ITB移植具有更高的弹性模块 (P < .05).
与DRF移植相比,SRF移植显示出更高的最终拉力应力 (P < .05).

结论:

DRF移植的生物力学特性与PT移植没有显著差异.
在SRF移植的生物力学特性上,与ITB移植没有显著差异.
腿直骨肌是ACL和AL复合重建的可行选择,提供足够的生物力学性能.

关键词:

前交叉带重建移植前交叉带重建移植这是两侧前侧手术.生物力学生物力学长腿直肠肌腿部直肠肌

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