CAJ | 학술논문

背景:膝关节交叉韧带的重建与人工韧带的选择有密切的关系.目的:通过检索相关文献,综述跆拳道运动员膝关节交叉韧带损伤的原因、膝关节交叉韧带重建和人工生物材料的选择问题,探讨人工韧带的重建、功能恢复及其临床效果的关系.方法:应用网络http://www.highwire.org/, http://www.chkd.cnki.net/index.htm/, 检索1999-01/2009-10的相关文献,检索词"Sport Training Dept, anterior cruciate ligament, ACL", 限定文章语言种类为English;并用检索词"跆拳道,膝关节前交叉韧带",限定文章语言种类为中文,检索相关的博士硕士论文,以及相关的中英文会议论文集.另外手工查找膝关节前交叉韧带有关的资料和书籍.排除实验设计不合理的文章及观点模糊的综述.结果与结论:①膝关节损伤是跆拳道运动常见的伤病,膝关节交叉韧带的重建,人工韧带的选择很关键.采用何种材料主要考虑一定形态、大小的移植物的强度、移植物的愈合过程、供区的损坏程度以及移植后能否建立与正常韧带组织相似的附着点.②人工合成材料重建交叉韧带的应用成败主要取决于其组成材料.材料的生物性、机械性是否能与正常韧带生物相容性和生物力学匹配制约着手术的成败.采用理想的生物材料修复韧带,可避免因自体取材的附加损伤.③人工合成材料重建交叉韧带的特点:可避免取材部位的并发症;关节镜下手术操作简便,手术时间短,创伤小;术中即刻获得足够抗拉强度;术后能够早期活动,恢复快;并发症少.临床上近期效果满意,远期效果还需进一步观察证实.
배경:슬관절교차인대적중건여인공인대적선택유밀절적관계.목적:통과검색상관문헌,종술태권도운동원슬관절교차인대손상적원인、슬관절교차인대중건화인공생물재료적선택문제,탐토인공인대적중건、공능회복급기림상효과적관계.방법:응용망락http://www.highwire.org/, http://www.chkd.cnki.net/index.htm/, 검색1999-01/2009-10적상관문헌,검색사"Sport Training Dept, anterior cruciate ligament, ACL", 한정문장어언충류위English;병용검색사"태권도,슬관절전교차인대",한정문장어언충류위중문,검색상관적박사석사논문,이급상관적중영문회의논문집.령외수공사조슬관절전교차인대유관적자료화서적.배제실험설계불합리적문장급관점모호적종술.결과여결론:①슬관절손상시태권도운동상견적상병,슬관절교차인대적중건,인공인대적선택흔관건.채용하충재료주요고필일정형태、대소적이식물적강도、이식물적유합과정、공구적손배정도이급이식후능부건립여정상인대조직상사적부착점.②인공합성재료중건교차인대적응용성패주요취결우기조성재료.재료적생물성、궤계성시부능여정상인대생물상용성화생물역학필배제약착수술적성패.채용이상적생물재료수복인대,가피면인자체취재적부가손상.③인공합성재료중건교차인대적특점:가피면취재부위적병발증;관절경하수술조작간편,수술시간단,창상소;술중즉각획득족구항랍강도;술후능구조기활동,회복쾌;병발증소.림상상근기효과만의,원기효과환수진일보관찰증실.
BACKGROUND: Reconstruction of cruciate ligaments of knee joint is closely associated with the selection of artificial ligament. OBJECTIVE: To explore the associations among artificial ligament reconstruction, functional recovery and clinical effectiveness by summarizing reasons for cruciate ligament injury, reconstruction of cruciate ligament, and the selection of artificial ligament in Taekwondo athletes.METHODS: Documents published between January 1999 and October 2009 were searched on line http://www.highwire.org/ or http://www.chkd.cnki.net/index.htm/ using key words of "Sport Training Dept, anterior cruciate ligament, and ACL" both in English and Chinese for master's thesis, doctoral dissertations, or conference proceedings. Additionally, related books were searched by manual. The unreasonable designed experiments or reviews with obscure opinions were excluded. RESULTS AND CONCLUSION: ①Knee joint injury is common in taekwondo athletics, and the selection of artificial ligament plays an important role in reconstruction of cruciate ligaments. The intensity of graft, the healing process, the damage degree of donor site, and the attachment point after grafting should be considered when selecting an artificial ligament. ②The material of artificial ligament affects the success of reconstruction. In addition, whether the biological properties and mechanical function of artificial ligament can match the normal ligament restrict the success of surgery. An ideal biomaterial can avoid additional damage to patients. ③The artificial synthetic material is characterized by less complication, easy operation, small trauma, and fast recovery. The short-term result of artificial synthetic material is satisfied, but the long-term effectiveness needs further confirmed.