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首页> 外文期刊>Journal of Sports Medicine >The Potentially Positive Role of PRPs in Preventing Femoral Tunnel Widening in ACL Reconstruction Surgery Using Hamstrings: A Clinical Study in 51 Patients
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The Potentially Positive Role of PRPs in Preventing Femoral Tunnel Widening in ACL Reconstruction Surgery Using Hamstrings: A Clinical Study in 51 Patients

机译：PRP在预防使用Ham绳肌进行ACL重建手术中预防股骨隧道扩大中的潜在积极作用：51例患者的临床研究

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Purpose. In this study, the early and midterm clinical and radiological results of the anterior cruciate ligament (ACL) reconstruction surgery with or without the use of platelet rich plasma (PRP) focusing on the tunnel-widening phenomenon are evaluated. Methods. This is a double blind, prospective randomized study. 51 patients have completed the assigned protocol. Recruited individuals were divided into two groups a group with and a group without the use of PRPs. Patients were assessed on the basis of MRI scans, which were performed early postoperatively and repeated at least one-year postoperatively. The diameter was measured at the entrance, at the bottom, and at the mid distance of the femoral tunnel. Results. Our study confirmed the existence of tunnel widening as a phenomenon. The morphology of the dilated tunnels was conical in both groups. There was a statistical significant difference in the mid distance of the tunnels between the two groups. This finding may support the role of a biologic response secondary to mechanical triggers. Conclusions. The use of RPRs in ACL reconstruction surgery remains a safe option that could potentially eliminate the biologic triggers of tunnel enlargement. The role of mechanical factors, however, remains important.
机译：目的。在这项研究中，评估了前交叉韧带（ACL）重建手术在有或没有使用富含血小板血浆（PRP）的情况下早期和中期的临床和放射学结果，重点是隧道扩大现象。方法。这是一项双盲，前瞻性随机研究。 51位患者已完成分配的协议。招聘人员分为两组，一组使用PRP，一组不使用PRP。根据MRI扫描对患者进行评估，MRI扫描在术后早期进行，术后至少一年重复一次。在股骨隧道的入口，底部和中间距离处测量直径。结果。我们的研究证实存在隧道拓宽现象。两组的扩张隧道的形态均为圆锥形。两组之间的隧道中间距离有统计学上的显着差异。这一发现可能支持继机械触发后的生物学反应的作用。结论。在ACL重建手术中使用RPR仍然是安全的选择，可以潜在地消除隧道扩大的生物触发因素。然而，机械因素的作用仍然很重要。

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