LARS人工韧带在前交叉韧带重建术中应用的研究进展

Clinical application of LARS artificial ligament in anterior cruciate ligament reconstruction:an update

前交叉韧带(ACL)是维持膝关节稳定的重要结构之一,同时也是膝关节运动中最易损伤的结构。ACL损伤常导致患者膝关节不稳,阻碍患者重返运动,继发膝关节退行性病变。目前,临床上常选择自体移植物重建ACL,但存在取材范围有限、供区并发症、无法早期重返运动等问题。韧带增强重建系统(LARS)人工韧带具有来源广泛、无供区并发症、快速康复等优势,因而可避免自体移植物重建ACL的相关问题,近年来受到越来越多的关注。因此,笔者就LARS人工韧带的特点及其在ACL重建中应用的研究进展进行综述,为临床治疗ACL损伤提供参考。

The anterior cruciate ligament(ACL)is one of the most crucial components to maintain knee joint stability and also the most vulnerable structure during knee‑related sports activities.ACL injuries often cause knee instability,difficulty in returning to sports,and secondary degenerative knee disease.Although using autograft to reconstruct the ACL is currently a popular choice in clinical settings,it has drawbacks such as limited autograft source,donor site morbidity and delayed return to sports.Ligament advanced reinforcement system(LARS)artificial ligament possesses unique advantages such as wide availability,no donor‑site morbidity,and early recovery,avoiding the problems associated with autograft reconstruction of ACL,and it has drawn increasing attention in recent years.In this paper,the authors reviewed the characteristics of LARS artificial ligament and its application in ACL reconstruction,so as to provide reference for clinical treatment of ACL injuries.