【作者】 刘巍；

【导师】 高石军；

【作者基本信息】 河北医科大学 ， 外科学（专业学位）， 2018， 硕士

【摘要】 前交叉韧带(anterior cruciate ligament,ACL)损伤作为膝关节运动损伤疾病较为常见,ACL重建术是外科治疗ACL损伤的金标准。虽然大多数患者在ACL重建术后短期内获得了满意的结果,但长期随访发现造成膝关节软骨退变的原因尚未完全清楚,因此,ACL重建在很多方面还存在争议,如ACL重建时机、手术路径、移植物选择、手术方法、移植物的固定方式、术后康复锻炼及术后并发症等。大多数的医生更倾向于选择早期ACL重建,手术路径由原来的开放式手术转变为创伤更小的关节镜下手术,自体移植物仍是初次ACL重建的首选,解剖重建ACL被更多的医生所接受,股骨侧的悬吊固定和胫骨侧挤压固定成为最常使用的固定方式,重建术后早期康复锻炼逐渐成为手术成功的关键,术后并发症可能与移植物、手术技术、患者的运动方式有关,本文旨在通过对影响ACL重建的主要因素进行综述,为临床工作提供新思路。更多还原

【Abstract】 Anterior cruciate ligament(ACL)injury is the most common sport injury of the knee joint and ACL reconstruction is the gold standard surgical treatment.Although most patients get good results in the short term after ACL reconstrction,its follow-up in the long-term in degeneration of cartilage is not yet confirmed.Therefore,the ACL reconstruction remains controversial in many ways,such as the timing of reconstruction,surgical approach,graft selection,operative techniques,fixation methods of the graft,rehabilitation after surgery,and complications after surgery.Most surgeons prefer early ACL reconstruction after an ACL injury,ACL reconstruction has turned an open to arthroscopic procedure,autografts are still the first choice of graft in primary ACL reconstruction,anatomical ACL reconstruction has been accepted by more surgeons,a preferred fixation method is the suspensory method of fixation at the femoral site and the interference fixation at the tibial site,accelerated rehabilitation after surgery is becoming the key point to the operation,complications after surgery have relationships to graft,surgical technique and the patient’s activity.This paper aims to review the main factors influencing ACL reconstruction,and provide new ideas for clinical work.更多还原