[内支撑韧带增强技术在十字韧带损伤修复重建中的应用]
[Application of internal brace ligament augmentation technology in repair and reconstruction of cruciate ligament injuries].
[Application of internal brace ligament augmentation technology in repair and reconstruction of cruciate ligament injuries].
为综述内支撑韧带增强(internal brace ligament augmentation,IBLA)技术在前后交叉韧带(anterior cruciate ligament,ACL;posterior cruciate ligament,PCL)损伤修复与重建中的应用进展,明确IBLA技术的发展趋势。对近年来国内外关于IBLA技术的生物力学研究、动物实验及临床研究进行综述,分析和总结该技术对ACL、PCL修复与重建术后生物力学、组织学变化及临床疗效的影响。IBLA技术可在ACL、PCL修复与重建术后早期提供增强的膝关节稳定性,促进韧带损伤部位愈合,增加肌腱移植物生物力学强度,从而降低术后失败率。IBLA具有良好的组织相容性。临床随访显示,IBLA可改善术后早期膝关节稳定性、活动度及功能评分,行快速康复的患者可获得更满意的疗效,且未见严重并发症报道。IBLA联合ACL、PCL修复与重建可促进术后早期快速康复,具有良好的应用前景。然而,仍需进一步优化IBLA的材料性能及相关手术技术;此外,其长期疗效、移植物与修复韧带的结构重塑及潜在的生物力学功能机制仍有待进一步阐明。
To review the application progress of internal brace ligament augmentation (IBLA) technology in the repair and reconstruction of anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) injuries, and to clarify the development trends of IBLA technology. A comprehensive review of recent domestic and international and biomechanical studies, animal experiments, and clinical research on IBLA technology was conducted. The effects of this technology on postoperative biomechanics, histological changes, and clinical outcomes following ACL and PCL repair and reconstruction were analyzed and summarized. IBLA technology provides enhanced knee stability in the early postoperative period after ACL and PCL repair and reconstruction. It promotes healing at the ligament injury site and increases the biomechanical strength of tendon grafts, thereby reducing postoperative failure rates. IBLA demonstrates good histocompatibility Clinical follow-up shows that IBLA improves early postoperative knee stability, range of motion, and functional scores. Patients undergoing rapid rehabilitation achieve more satisfactory outcomes, with no reported serious complications. The combination of IBLA with ACL and PCL repair and reconstruction promotes rapid early postoperative recovery and shows promising application prospects. However, further optimization of IBLA material properties and related surgical techniques is needed. Additionally, the long-term effectiveness, structural remodeling of the grafts and repaired ligaments, and the underlying biomechanical functional mechanisms require further clarification.
Hongmai Yang, Zhengliang Shi, Zhaohui Ruan, Kaiquan Li, Minyuan Zhang, Yanlin Li. [Application of internal brace ligament augmentation technology in repair and reconstruction of cruciate ligament injuries].. Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery. 2026; doi:10.7507/1002-1892.202509051.
Hongmai Yang, Zhengliang Shi, Zhaohui Ruan, Kaiquan Li, Minyuan Zhang, Yanlin Li (2026). [Application of internal brace ligament augmentation technology in repair and reconstruction of cruciate ligament injuries].. Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery. https://doi.org/10.7507/1002-1892.202509051
Hongmai Yang, Zhengliang Shi, Zhaohui Ruan, Kaiquan Li, Minyuan Zhang, Yanlin Li. [Application of internal brace ligament augmentation technology in repair and reconstruction of cruciate ligament injuries].[J]. Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2026 doi:10.7507/1002-1892.202509051.
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