Consensus on the application of artificial ligaments in military anterior cruciate ligament injury
10.16781/j.CN31-2187/R.20240182
- VernacularTitle:人工韧带在军队前交叉韧带损伤中应用的专家共识
- Collective Name:Chinese Specialist Consensus Group of Consensus on the application of artificial ligaments in military anterior cruciate ligament injury
- Publication Type:Journal Article
- Keywords:
military personnel;
anterior cruciate ligament injury;
anterior cruciate ligament reconstruction;
artificial ligaments;
ligament advanced reinforcement system;
consensus
- From:
Academic Journal of Naval Medical University
2025;46(1):8-16
- CountryChina
- Language:Chinese
-
Abstract:
Artificial ligament,as a choice of grafts in anterior cruciate ligament(ACL)reconstruction,has always been a focus of ACL injury research.Since the incidence of ACL injury in the military is significantly higher than that in the general population,artificial ligament can theoretically make up for the limited source of biological grafts and donor site complications,more in line with the needs of rapid rehabilitation and retraining of military patients after surgery,and has been widely used in military ACL reconstruction.However,the special physicochemical characteristics of artificial ligament determine higher requirements for surgical indication selection and bone tunnel positioning technique.At the same time,there are differences and controversies in the published clinical studies regarding its efficacy.Therefore,after nearly 2 decades,it has not yet been able to completely replace biological grafts.Aiming to further standardize and promote the application of artificial ligaments in military ACL reconstruction surgery,led by the Sports Medicine Arthroscopy Branch of the Orthopedics Professional Committee of the Chinese People's Liberation Army Medical Science and Technology Committee,experts were organized to develop 11 consensus items through clinical evidence sorting and scientific discussions from 3 aspects:surgical indications,surgical techniques,and postoperative management.It is pointed out that artificial ligaments can be used alone or in combination with autologous tendons for the primary and revision surgeries of ACL,which has potential advantages for overweight cases and those requiring accelerated recovery.In addition,more attention should be paid to retaining remnants,isometric tunnel positioning,and cortical bone screw fixation.
