前交叉韧带重建术后髌股关节炎的研究现状△

Current research in patellofemoral osteoarthritis after anterior cruciate ligament reconstruction

摘要:

膝关节骨关节炎（osteoarthritis, OA）是一种以膝关节软骨退行性病变和继发性骨质增生为特征的慢性疾病。前交叉韧带 （anterior cruciate ligament, ACL） 损伤是临床常见疾病，前交叉韧带重建 （anterior cruciate ligament reconstruction, ACLR） 技术已经成为 ACL 损伤的首选治疗方法。有学者提出 ACLR 是继发髌股关节 OA 的危险因素之一，髌股关节 OA 与膝关节 OA 密切相关。因此，减少 ACLR 术后髌股关节 OA 的发生也是减少或延缓膝关节 OA 的重要环节。目前关于 ACLR 术后发生髌股关节 OA 的机制尚未清楚。本文回顾国内外相关文献，对 ACLR 术后髌股关节 OA 的流行病学、危险因素最新进展进行综述， 为临床诊疗提供参考。

Abstract:

Knee osteoarthritis (OA) is a chronic disease characterized by knee cartilage degeneration and secondary bone hyperplasia. Anterior cruciate ligament (ACL) tear is a common sports injury, which need to be underwent anterior cruciate ligament reconstruction (ACLR), and some scholars have proposed that ACLR is one of the risk factors for secondary patellofemoral OA. Patellofemoral OA is closely related to knee OA. Therefore, reducing the incidence of patellofemoral OA after ACLR is also an important part of reducing or delaying knee OA. However, the mechanism of patellofemoral OA after ACLR remains unclear. This article reviewed relevant literature at home and abroad, and summarized the latest progress in epidemiology and risk factors of patellofemoral OA after ACLR to provide a reference for clinical diagnosis and treatment.