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全内技术在前交叉韧带重建中的应用进展
Progress in the application of all-inside technique in anterior cruciate ligament
投稿时间:2023-07-17  
DOI:10.3969/j.issn.1672-5972.2024.04.018
中文关键词:  前交叉韧带重建  全内技术  前交叉韧带
英文关键词:Anterior cruciate ligament reconstruction  All-inside technique(AIT)  Anterior cruciate ligament
基金项目:
作者单位邮编
李翼 华中科技大学同济医学院附属协和医院骨科湖北 武汉430030 430030
杨文博 华中科技大学同济医学院附属协和医院骨科湖北 武汉430030 430030
孟春庆 华中科技大学同济医学院附属协和医院骨科湖北 武汉430030 430030
王洪 华中科技大学同济医学院附属协和医院骨科湖北 武汉430030 430030
黄玮* 华中科技大学同济医学院附属协和医院骨科湖北 武汉430030 430030
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中文摘要:
      前交叉韧带(anterior cruciate ligament, ACL)损伤是十分常见的疾病,常发生于运动损伤或交通事故中。前交叉韧带对维持膝关节运动稳定发挥了重要作用,目前ACL损伤最常见的治疗方法是进行前交叉韧带重建(anterior cruciate ligament reconstruction, ACLR),全内技术(all-inside technique, AIT)是一种新兴的重建技术,具有膝关节功能改善良好、移植物直径更大、肌肉肌腱保存更多、骨移除量较少、术后并发症发生率低、术后疼痛低及手术创面更美观等优点。本文综述了关于全内前交叉韧带重建的文献,从全内技术的发展历史、手术要点、对比于传统技术的优缺点和临床疗效等方面讨论全内技术在前交叉韧带重建中的应用进展和未来方向。
英文摘要:
      Anterior cruciate ligament (ACL) injury is a common condition in orthopedics, usually resulting from sports injuries and transportation accidents. The ACL plays an important role in maintaining the stability of the knee joint. Currently, anterior cruciate ligament reconstruction (ACLR) is the most commonly used therapy for ACL injuries. The all-inside technique (AIT) is a newly emerging surgical technique that has many advantages, such as better improvement of knee joint function, larger diameter graft, less bone removal and more muscle preservation, lower rate of complications, less postoperative pain, and better cosmetic result. This article reviews the historical development of the AIT, surgical characteristics, advantages and shortcomings compared to traditional technique, clinical efficacy, and discusses the progress in the application and the future direction of AIT in ACLR.
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