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中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (05) : 708 -714. doi: 10.3877/cma.j.issn.1674-134X.2023.05.017

综述

前交叉韧带保留残端重建促进膝关节功能的研究进展
梁家敏, 黄子荣, 崔家鸣, 钟名金, 冯文哲, 陈康, 胡艳, 欧阳侃, 杨雷, 王大平, 王满宜, 朱伟民†()   
  1. 518035　深圳大学第一附属医院(深圳市第二人民医院)；518061　深圳大学医学部
    518035　深圳大学第一附属医院(深圳市第二人民医院)
  • 收稿日期:2022-10-31 出版日期:2023-10-01
  • 通信作者: 朱伟民
  • 基金资助:
    深圳市科技计划基础研究(JCY20210324102607021); 深圳市工业和信息化局项目(201806081524201510); 深圳市第二人民医院临床研究项目(2023yjlcyj030)

Research progress in anterior cruciate ligament retain residual reconstruction for promoting knee joint function

Jiamin Liang, Zirong Huang, Jiaming Cui, Mingjin Zhong, Wenzhe Feng, Kang Chen, Yan Hu, Kan Ouyang, Lei Yang, Daping Wang, Manyi Wang, Weimin Zhu†()   

  1. Department of Sports Medicine, Shenzhen Second People’s Hospital/ the First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen 518035, China; Shenzhen University Health Science Center, Shenzhen 518061, China
    Department of Sports Medicine, Shenzhen Second People’s Hospital/ the First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen 518035, China
  • Received:2022-10-31 Published:2023-10-01
  • Corresponding author: Weimin Zhu
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引用本文：

梁家敏, 黄子荣, 崔家鸣, 钟名金, 冯文哲, 陈康, 胡艳, 欧阳侃, 杨雷, 王大平, 王满宜, 朱伟民. 前交叉韧带保留残端重建促进膝关节功能的研究进展[J/OL]. 中华关节外科杂志(电子版), 2023, 17(05): 708-714.

Jiamin Liang, Zirong Huang, Jiaming Cui, Mingjin Zhong, Wenzhe Feng, Kang Chen, Yan Hu, Kan Ouyang, Lei Yang, Daping Wang, Manyi Wang, Weimin Zhu. Research progress in anterior cruciate ligament retain residual reconstruction for promoting knee joint function[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(05): 708-714.

前交叉韧带保留残端重建技术与非保留残端重建技术对促进膝关节腱骨愈合、膝关节本体感觉恢复、移植韧带滑膜化与再血管化程度上是否有差异一直存在争议。本文通过检索2018年1月至2022年9月的相关文献，归纳、总结和讨论保留残端重建前交叉韧带对骨隧道、本体感觉恢复、移植韧带滑膜化与再血管化、早期膝关节功能恢复的影响。保留残端重建前交叉韧带的优点是促进腱骨愈合、利于早期本体感觉的恢复、促进移植韧带滑膜化与再血管化，继而加速膝关节功能恢复，临床医生应根据患者前交叉韧带断裂的残端类型选择术式，对于满足残端保留条件的患者，应尽可能保留残端重建前交叉韧带。

关键词: 膝关节, 前交叉韧带重建

There are debates in residual end preservation technique in anterior cruciate ligament reconstruction whether it would promote the bone-tendon healing, knee proprioception recovery, vascularization of synovial membrane and transplanted ligament. This article retrieved the literatures from January 2018 to September 2022, and provided induction, summary and discussion of the influence of residual preservation in anterior cruciate ligament reconstruction on bone tunnel, proprioception recovery, vascularization of synovial membrane and transplanted ligament, and early knee function recovery. Preservation residual anterior cruciate ligament reconstruction shows advantages in promoting early tendon bone healing and vascularization of synovial membrane and transplanted ligament, and is also conducive to the recovery of proprioception, which in turn accelerate the knee joint function recovery. Clinical doctors should base on the residual type of the anterior cruciate ligament rupture in patients, for patients who meet the conditions of residual reserves, surgeons shall retaine the tissue as far as possible during anterior cruciate ligament reconstruction.

Key words: Knee joint, Anterior cruciate ligament reconstruction
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