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前交叉韧带损伤及修复研究进展
作者:韩银河  温昱 
单位:中国医科大学 组织胚胎学教研室, 辽宁 沈阳 110122
关键词:前交叉韧带损伤及修复 富血小板血浆 力学生长因子 干细胞 综述 
分类号:R686.5
出版年·卷·期(页码):2020·39·第六期(787-790)
摘要:

前交叉韧带(anterior cruciate ligament,ACL)损伤及修复一直是医学研究的重要课题,不管是在临床应用还在基础研究中。由于其内源性修复障碍,手术重建一直是治疗ACL损伤的金标准。但是随着科学研究的发展,手术治疗被发现有诸多弊端,像术后骨关节炎、二次损伤和撕裂等,而且手术重建后韧带功能无法恢复如初,严重影响患者的行动。因此,探索更加有效的治疗方法是当前研究的目标。目前对ACL损伤后修复方法主要集中在探讨促进内源性修复机制、韧带重建手术改进、富血小板血浆促进修复、力学生长因子促进修复、通过基因转染促进修复和干细胞促进修复等几方面。本文作者就ACL的损伤类型、损伤机制以及修复方法作一综述。

参考文献:

[1] KAEDING C C,LEGER-ST-JEAN B,MAGNUSSEN R A.Epidemiology and diagnosis of anterior cruciate ligament injuries[J].Clin Sports Med,2017,36(1):1-8.
[2] DCARY S,FALLAHA M,BELZILE S,et al.Clinical diagnosis of partial or complete anterior cruciate ligament tears using patients history elements and physical examination tests[J].PLoS One,2018,13(6):e0198797.
[3] AHN J H,CHANG M J,LEE Y S,et al.Non-operative treatment of ACL rupture with mild instability[J].Arch Orthop Trauma Surg,2010,130(8):1001-1006.
[4] ZHANG J,PAN T,IM H J,et al.Differential properties of human ACL and MCL stem cells may be responsible for their differential healing capacity[J].BMC Med,2011,9:68.
[5] KIAPOURA M,MURRAY M M.Basic science of anterior cruciate ligament injury and repair[J].Bone Joint Res,2014,3(2):20-31.
[6] AGARWALLA A,PUZZITIELLO R N,LIU J N,et al.Timeline for maximal subjective outcome improvement after anterior cruciate ligament reconstruction[J].Am J Sports Med,2019,47(10):2501-2509.
[7] IRIUCHISHIMA T,FU F H,RYU K,et al.Sagittal femoral condyle morphology correlates with femoral tunnel length in anatomical single bundle ACL reconstruction[J].Knee Surg Sports Traumatol Arthrosc,2018,26(4):1110-1116.
[8] GRASSI A,NITRI M,MOULTON S G,et al.Does the type of graft affect the outcome of revision anterior cruciate ligament reconstruction? a meta-analysis of 32 studies[J].Bone Joint J,2017,99(6):714-723.
[9] TIAN S,WANG B,LIU L,et al.Irradiated hamstring tendon allograft versus autograft for anatomic double-bundle anterior cruciate ligament reconstruction:midterm clinical outcomes[J].Am J Sports Med,2016,44(10):2579-2588.
[10] HUANG J,CHEN F,JIAN G,et al.Effect of culture complex of BMSCs and sodium hydroxide- and GRGDSPC-treated PET on the reconstruction of injured anterior cruciate ligament in a rabbit model[J].Int J Clin Exp Med,2015,8(5):6902-6913.
[11] HENLE P,BIERI K S,BRAND M,et al.Patient and surgical characteristics that affect revision risk in dynamic intraligamentary stabilization of the anterior cruciate ligament[J].Knee Surg Sports Traumatol Arthrosc,2018,26(4):1182-1189.
[12] COOK J L,SMITH P,STANNARD J P,et al.A canine arthroscopic anterior cruciate ligament reconstruction model for study of synthetic augmentation of tendon allograftsr[J].J Knee Surg,2017,30(7):704-711.
[13] SAMPLE S J,RACETTE M A,HANS E C,et al.Use of a platelet-rich plasma-collagen scaffold as a bioenhanced repair treatment for management of partial cruciate ligament rupture in dogs[J].PLoS One,2018,13(6):e0197204.
[14] SHA Y,YANG L,LV Y.MGF E peptide improves anterior cruciate ligament repair by inhibiting hypoxia-induced cell apoptosis and accelerating angiogenesis[J].J Cell Physiol,2019,234(6):8846-8861.
[15] TROHATOU O,ROUBELAKIS M G.Mesenchymal stem/stromal cells in regenerative medicine:past,present,and future[J].Cell Reprogram,2017,19(4):217-224.
[16] MATSUMOTO T,INGHAM S M,MIFUNE Y,et al.Isolation and characterization of human anterior cruciate ligament-derived vascular stem cells[J].Stem Cells Dev,2012,21(6):859-872.
[17] OE K,KUSHIDA T,OKAMOTO N,et al.New strategies for anterior cruciate ligament partial rupture using bone marrow transplantation in rats[J].Stem Cells Dev,2011,20(4):671-679.
[18] FIGUEROA D,ESPINOSA M,CALVO R,et al.Anterior cruciate ligament regeneration using mesenchymal stem cells and collagen type Ⅰ scaffold in a rabbit model[J].Knee Surg Sports Traumatol Arthrosc,2014,22(5):1196-1202.
[19] NIXON A J,WATTS A E,SCHNABEL L V.Cell- and gene-based approaches to tendon regeneration[J].J Shoulder Elbow Surg,2012,21(2):278-294.
[20] BEZ M,KREMEN T J,TAWACKOLI W,et al.Ultrasound-mediated gene delivery enhances tendon allograft integration in mini-pig ligament reconstruction[J].Mol Ther,2018,26(7):1746-1755.
[21] PASCHER A,STEINERT A F,PALMER G D,et al.Enhanced repair of the anterior cruciate ligament by in situ gene transfer:evaluation in an vitro model[J].Mol Ther,2004,10(2):327-336.
[22] MADRY H,KOHN D,CUCCHIARINI M.Direct FGF-2 gene transfer via recombinant adeno-associated virus vectors stimulates cell proliferation,collagen production,and the repair of experimental lesions in the human ACL[J].Am J Sports Med,2013,41(1):194-202.
[23] ELVIRI L,BIANCHERA A,BERGONZI C,et al.Controlled local drug delivery strategies from chitosan hydrogels for wound healing[J].Expert Opin Drug Deliv,2017,14(7):897-908.
[24] WIIG M E,AMIEL D,VANDEBERG J,et al.The early effect of high molecular weight hyaluronan (hyaluronic acid) on anterior cruciate ligament healing:an experimental study in rabbits[J].J Orthop Res,1990,8(3):425-434.
[25] ROBAYO L M,MOULIN V J,TREMBLAY P,et al.New ligament healing model based on tissue-engineered collagen scaffolds[J].Wound Repair Regen,2011,19(1):38-48.

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