• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Simultaneous reconstruction of anterior cruciate ligament (ACL) with autologous graft and of medial collateral ligament (MCL) with allograft
【24h】

Simultaneous reconstruction of anterior cruciate ligament (ACL) with autologous graft and of medial collateral ligament (MCL) with allograft

机译：自体移植同时重建前交叉韧带（ACL）和同种异体移植同时重建内侧副韧带（MCL）

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Over the last years, the incidence of multiple ligament injuries has increased significantly due to the rising number of traffic accidents in relation to their kinetics and due to higher sports demands. Among their various combinations, one of them is the lesion of anterior cruciate ligament (ACL) which is associated to medial collateral ligament responsible for them in a 13 %.Nowadays several techniques to the reconstruction of Anterior Cruciate Ligament (ACL) and Medial Collateral Ligament (MCL) are applied. Therefore, for the last three years, we have carried out the simultaneous reconstruction of ACL with autologous graft and of MCL with allograft. Benefits include avoidance of morbidity in multiple donor areas, a safe bone-to-bone fixation in the case of Achilles tendon grafting; tiny incisions in the skin , and anatomical reconstruction.Throughout the years, the use of allografts has been very frequent. This is due to their safety factors, accessibility and their functional outcomes in the long term. Objectives: Show our surgical technique and experience in the combined reconstruction of anterior cruciate ligament with autologous graft and of medial collateral ligament with allograft. Methods: Fourteen (14) patients, with an average age of 29, were evaluated after they had undergone a reconstruction of ACL and MCL with autologous graft and allograft respectively. Average follow-up was 19.6 months.With respect to the surgical technique, it comprises two small incisions placing the anatomical femoral and tibial insertion for the MCL, and arthroscopically the anatomical location of the LCA. Later, some corresponding holes are made to be fixed with blunt Titanium screws following the same procedure. Mobility, joint laxity and subjective functionality were evaluated by means of Lysholm scores and International Knee Documentation Committee (IKDC). Results: The Average Lysholm knee score was 93, while all the patients were classified A/B according to the IKDC and were able to return to their normal sport and daily activity. Their range of motion remained stable. Conclusion: In multiple ligament knee injury, the use of allografts or in combination with autologous graft has become a valid resource. The lower risk of morbidity from the donor zone, the lower exposure of tissues, the lower postoperative pain with the MCL allograft at a low cost and greater security with ACL autologous graft have turned this surgical technique in a viable option for multi-ligament injured knee reconstruction.
机译：简介：在过去的几年中，由于与交通事故有关的动力学方面的交通事故数量增加以及对运动的要求更高，多条韧带损伤的发生率显着增加。在它们的各种组合中，其中一个是前交叉韧带（ACL）病灶，其与内侧副韧带相关，占其中的13％。如今，有几种重建前交叉韧带（ACL）和内侧副韧带的技术（MCL）。因此，在过去三年中，我们同时进行了自体移植的ACL和同种异体移植的MCL的同时重建。好处包括避免多个供体区域的发病，在跟腱移植术中安全地进行骨到骨固定;多年来，同种异体移植的使用非常频繁。从长远来看，这是由于它们的安全性，可及性和功能性结果。目的：展示我们的手术技术和自体移植联合重建前交叉韧带和同种异体内侧副韧带的联合手术技术和经验。方法：对十四（14）例平均年龄为29岁的患者进行了自体移植和同种异体移植重建ACL和MCL后的评估。平均随访时间为19.6个月，就手术技术而言，它包括两个小切口，分别放置MCL的股骨和胫骨解剖插入以及关节镜下LCA的解剖位置。然后，按照相同的步骤，用钝的钛螺钉固定一些相应的孔。通过Lysholm评分和国际膝关节文献委员会（IKDC）评估了活动能力，关节松弛度和主观功能。结果：Lysholm膝关节平均评分为93，而所有患者均根据IKDC分为A / B级，并且能够恢复正常运动和日常活动。他们的活动范围保持稳定。结论：在多韧带膝关节损伤中，同种异体移植物或自体移植物的结合已成为有效的资源。供体区患病的风险较低，组织的暴露量较低，MCL同种异体移植物成本较低，术后疼痛较低，ACL自体移植物具有更高的安全性，已使该手术技术成为多韧带损伤膝关节的可行选择重建。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号