[Research progress of double-bundle anterior cruciate ligament reconstruction in adolescents]

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Sep 15;33(9):1060-1063. doi: 10.7507/1002-1892.201904127.
[Article in Chinese]

Abstract

Objective: To review the advances in double-bundle anterior cruciate ligament (ACL) reconstruction in adolescents at home and abroad.

Methods: Recent literature about double-bundle ACL reconstruction in adolescents at home and abroad was extensively consulted, and the relationship between bone canal and epiphyseal plate, clinical verification of surgical safety, and clinical effectiveness of double-bundle ACL reconstruction in adolescents were summarized and analyzed.

Results: Double-bundle ACL reconstruction has certain advantages in clinical stability and re-rupture rate when compared with single-bundle ACL reconstruction in adolescents, and there is no significant difference in safety between them.

Conclusion: Double-bundle ACL reconstruction in adolescents can achieve lower re-rupture rate and better stability when compared with single-bundle reconstruction. However, the sample size of clinical research is too small, and the follow-up time is too short, so the effectiveness needs to be continuously observed.

目的: 了解国内外青少年前交叉韧带(anterior cruciate ligament,ACL)双束重建的研究进展。.

方法: 广泛查阅近年国内外与青少年 ACL 双束重建相关文献,对与青少年 ACL 双束重建相关的骨道与骺板关系、手术安全性临床验证和临床效果进行总结分析。.

结果: 青少年 ACL 双束重建与单束重建相比,安全性无区别,但对于控制术后膝关节稳定性有一定优势且再断裂率更低。.

结论: 青少年 ACL 双束重建术后再断裂率低、稳定性好,但目前临床研究观察的样本量太小、随访时间短,其疗效有待持续观察。.

Keywords: Adolescent; anterior cruciate ligament; double-bundle reconstruction; research progress.

Publication types

  • Review

MeSH terms

  • Anterior Cruciate Ligament / surgery
  • Anterior Cruciate Ligament Injuries* / surgery
  • Anterior Cruciate Ligament Reconstruction*
  • Humans
  • Research / trends
  • Rupture
  • Treatment Outcome

Grants and funding

北京大学第三医院临床重点项目[(2018)BYSY2018004]