中国组织工程研究2024，Vol.28Issue(17)：2753-2758,6.DOI:10.12307/2024.478
移植物类型对前交叉韧带重建后患者膝关节功能的影响
Effect of graft type on knee function after anterior cruciate ligament reconstruction
摘要
Abstract
BACKGROUND:Grafts are often used to reconstruct the anterior cruciate ligament in clinical practice,while different types of grafts affect postoperative knee function and the development of rehabilitation programs. OBJECTIVE:To retrospectively analyze the effects of different graft types on muscle strength,joint stability,functional activities,and return to sports in patients after anterior cruciate ligament reconstruction. METHODS:Related studies were searched through PubMed,Web of Science,Cochrane,CNKI,and WANFANG databases.The Chinese and English key words were"anterior cruciate ligament reconstruction,autografts,allografts,artificial ligaments,bone-patellatendon-bone,quadriceps tendon autograft,hamstring tendon autograft,peroneus longus tendon autograft,rehabilitation,exercise,protocol,return to sport". RESULTS AND CONCLUSION:Patients with bone-patellar tendon-bone grafts should strengthen centrifugal contraction exercises of quadriceps muscle,and pay attention to the recovery of quadriceps muscle endurance and explosive power in the later stage of rehabilitation.Compared with bone-patellar tendon-bone grafts and hamstring tendon grafts,significantly fewer patients with quadriceps tendon grafts met regression criteria within 5-8 months,and a longer training plan should be developed,with the training cycle lasting as long as possible to more than 3 years.The selection of hamstring tendon grafts should strengthen the hamstring muscle strength training under multiple angles,especially the cycle of bending the knee above 60° until at least 18 weeks after surgery.Patients who choose peroneus longus tendon graft should strengthen the muscle strength around the ankle,mainly the plantar muscle strength.In the selection of allograft,attention should be paid to the reduction of tension resistance of 20%after the graft is disinfected by low-dose radiation,so attention should be paid to knee stability training.Patients who choose artificial ligament grafts can gradually enhance quadriceps and hamstring muscle strength training within 3-6 weeks,pay attention to early proprioceptive exercises,and conduct targeted training on balance,jumping,and flexibility.关键词
前交叉韧带重建/自体移植物/同种异体移植物/人工韧带/康复/膝关节功能Key words
anterior cruciate ligament reconstruction/autograft/allograft/artificial ligament/rehabilitation/knee joint function分类
医药卫生引用本文复制引用
李露祎,厉晓杰,黑泽明,刘华..移植物类型对前交叉韧带重建后患者膝关节功能的影响[J].中国组织工程研究,2024,28(17):2753-2758,6.基金项目
北京高校优质本科课程(145122005/004),项目负责人:刘华 （145122005/004）
北京高等教育"本科教学改革创新项目"(145122002/007),项目负责人:刘华 （145122002/007）
2023内涵发展-科研-科技强校支持计划项目(155223021),项目负责人:刘华 Quality Undergraduate Program in Beijing Universities,No.145122005/004(to LH) （155223021）
Beijing Higher Education"Undergraduate Teaching Reform and Innovation Project",No.145122002/007(to LH) （to LH）
2023 Connotation Development-Scientific Research-Science and Technology Strengthening Support Program,No.155223021(to LH) （to LH）
