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中华老年骨科与康复电子杂志

中华老年骨科与康复电子杂志 ›› 2024, Vol. 10 ›› Issue (04) : 237 -242. doi: 10.3877/cma.j.issn.2096-0263.2024.04.007

综述

同种异体肌腱在运动系统常见损伤中的应用
谢志涛1, 高小康2, 王丽敏3, 张净宇4, 李文静3, 高冰3, 胡永成2,†()   
  1. 1. 300000　天津医科大学；056500　邯郸，河北工程大学附属医院骨科中心
    2. 300000　天津医科大学
    3. 101100　北京威达峰医学生物材料有限责任公司
    4. 300000　天津市天津医院骨与软组织肿瘤科
  • 收稿日期:2023-12-27 出版日期:2024-08-05
  • 通信作者: 胡永成
  • 基金资助:
    邯郸市科学技术研究与发展计划项目(21422083378)

Application of tendon allografts in common injuries of the movement system

Zhitao Xie1, Xiaokang Gao2, Limin Wang3, Jingyu Zhang4, Wenjing Li3, Bing Gao3, Yongcheng Hu2,†()   

  1. 1. Tianjin Medical University, Tianjin 300000, China; Department of Orthopedics, Affiliated Hospital of Hebei Engineering University, Handan 056500, China
    2. Tianjin Medical University, Tianjin 300000, China
    3. Beijing Wonderful Medical Biomaterials Co., Ltd, Beijing 101100, China
    4. Department of Bone and Soft Tissue Oncology, Tianjin Hospital, Tianjin 300000, China
  • Received:2023-12-27 Published:2024-08-05
  • Corresponding author: Yongcheng Hu
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引用本文：

谢志涛, 高小康, 王丽敏, 张净宇, 李文静, 高冰, 胡永成. 同种异体肌腱在运动系统常见损伤中的应用[J]. 中华老年骨科与康复电子杂志, 2024, 10(04): 237-242.

Zhitao Xie, Xiaokang Gao, Limin Wang, Jingyu Zhang, Wenjing Li, Bing Gao, Yongcheng Hu. Application of tendon allografts in common injuries of the movement system[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2024, 10(04): 237-242.

肌腱是连接肌肉和骨骼的致密结缔组织，有着高机械强度、良好的柔韧性及最佳弹性水平。肌腱主要功能是传递肌肉收缩产生的力量，使骨骼移动从而产生身体各部位的动作。然而在运动过程中，负荷超出肌腱的承受能力，或由于反复运动造成的累积磨损，肌腱会受到损伤。临床上常用的肌腱移植物有三类：自体肌腱、异体肌腱和人工合成材料移植物。理想的肌腱移植物应具备重塑肌腱的解剖特性、与原肌腱具有相似的生物力学特性、良好的组织相容性和尽可能少的并发症等特点。由于无供区损伤、手术时间短、麻醉时间短、使用止血带时间短、移植物尺寸多样化、手术切口少、术后疼痛轻等多种优势，同种异体肌腱在临床上正逐渐普遍地应用于运动系统损伤的修复。为了科学、有效地进行同种异体肌腱的研究及应用，本文综述了同种异体肌腱在运动医学中的研究进展及应用的文献，从而推动同种异体肌腱在运动系统损伤修复中的基础研究及临床应用。

关键词: 同种异体移植, 肌腱损伤, 外科手术, 运动医学

Tendons are dense connective tissues that connect muscles to bones,providing high mechanical strength, goodflexibility, and optimal elasticity. The primary function of tendons is to transmit the force generated by muscle contractions, enabling movement of the skeleton and various body actions. However, during physical activity, tendons can become damaged due to loads exceeding their capacity or cumulative wear and tear caused by repetitive movements. In clinical practice, there are three main types of tendon grafts used: autografts, allografts, and synthetic materials. An ideal tendon graft should possess anatomical characteristics for tendon remodeling, similar biomechanical properties to the original tendon, good tissue compatibility, and minimal complications. Due to several advantages such as no donor site damage, shorter surgery and anesthesia times, shorter tourniquet use, diverse graft sizes, fewer incisions, and reduced postoperative pain, allogeneic tendon grafts are gradually being widely used for the repair of sports medicine system injuries. To advance the scientific and effective research and application of allogeneic tendon grafts, this review summarizes the research progress and application of allogeneic tendon grafts in sports medicine, aiming to promote the basic research and clinical application of allogeneic tendon grafts in the repair of movement system injuries.

Key words: Allografts, TendonInjuries, Surgery, Sports Medicine
图1 文献检索流程
1
Ruano JS, Sitler MR, Driban JB. Prevalence of radiographic knee osteoarthritis after anterior cruciate ligament Reconstruction, with or without meniscectomy: an Evidence-Based practice article [J]. J Athl Train, 2017, 52(6): 606-609.
2
Strickland SM, MacGillivray JD, Warren RF. Anterior cruciate ligament Reconstruction with allograft tendons [J]. Orthop Clin North Am, 2003, 34(1): 41-47.
3
Ertogrul R, Varol A, Oc Y, et al. Is peroneus longus allograft good alternative for anterior cruciate ligament Reconstruction: a comparison study [J]. Acta ChirOrthopTraumatol Cech, 2021, 88(1): 58-62.
4
Zhao BA, Yao YY, Ji QX, et al. No difference in postoperative efficacy and safety between autograft and allograft in anterior cruciate ligament Reconstruction: a retrospective cohort study in 112 patients [J]. Ann Transl Med, 2022, 10(6): 359.
5
Matthew TK, Joanne H. Long-Term outcomes of primary anterior cruciate ligament Reconstruction using Achilles tendon allograft [J]. Bull Hosp Joint Dis, 2023, 81(4): 227-231.
6
Shi DH, Cai DZ, Wang K, et al. Concurrent arthroscopic bicruciate ligament Reconstruction using Achilles tendon-bone allografts: experience with 15 cases [J]. Chin J Traumatol, 2008, 11(6): 341-346.
7
Nakata K, Shino K, Horibe S, et al. Arthroscopic anterior cruciate ligament Reconstruction using fresh-frozen bone plug-free allogeneic tendons: 10-year follow-up [J]. Arthroscopy, 2008, 24(3): 285-291.
8
Almqvist KF, Willaert P, De Brabandere S, et al. A long-term study of anterior cruciate ligament allograft Reconstruction [J]. Knee Surg Sports TraumatolArthrosc, 2009, 17(7): 818-822.
9
Chun CH, Han HJ, Lee BC, et al. Histologic findings of anterior cruciate ligament Reconstruction with Achilles allograft [J]. Clin OrthopRelat Res, 2004 (421): 273-276.
10
Noh JH, Yang BG, Yi SR, et al. Single-bundle anterior cruciate ligament Reconstruction in active young men using bone-tendon Achilles allograft versus free tendon Achilles allograft [J]. Arthroscopy, 2013, 29(3): 507-513.
11
Kang HJ, Su YL, Cao HJ, et al. Arthroscopic single-bundle ACL Reconstruction with modified double-layer bone-patellar tendon-bone allograft [J]. Knee Surg Sports TraumatolArthrosc, 2013, 21(9): 2066-2071.
12
Guo L, Yang L, Duan XJ, et al. Anterior cruciate ligament Reconstruction with bone-patellar tendon-bone graft: comparison of autograft, fresh-frozen allograft, and γ-irradiated allograft [J]. Arthroscopy, 2012, 28(2): 211-217.
13
Kane PW, Wascher J, Dodson CC, et al. Anterior cruciate ligament Reconstruction with bone-patellar tendon-bone autograft versus allograft in skeletally mature patients aged 25 years or younger [J]. Knee Surgery Sports Traumatology Arthroscopy, 2016, 24(11): 3627-3633.
14
Indelli PF, Dillingham MF, Fanton GS, et al. Anterior cruciate ligament Reconstruction using cryopreserved allografts [J]. Clin OrthopRelat Res, 2004 (420): 268-275.
15
Zamorano DP, Gold SM. Reverse Achilles tendon allograft technique for anterior cruciate ligament Reconstruction [J]. Arthroscopy, 2005, 21(6): 769.
16
Km SJ, Lee SK, Chong HC, et al. Graft selection in anterior cruciate ligament Reconstruction for smoking patients [J]. Am J Sports Med, 2014, 42(1): 166-172.
17
Noh JH, Song SJ, Roh YH, et al. Simultaneous multiple anterior cruciate ligament reconstructions using a single Achilles tendon allograft [J]. Acta OrthopBelg, 2013, 79(5): 547-551.
18
Wang F, Kang HJ, Chen BC, et al. Primary ACL Reconstruction: comparison of Achilles tendon allograft with tibial anatomical fixation and patellar tendon allograft with external aperture fixation [J]. Eur J Orthop Surg Traumatol, 2011, 21(5): 333-339.
19
Noh JH, Yang BG, Roh YH, et al. Synovialization on second-look arthroscopy after anterior cruciate ligament Reconstruction using Achilles allograft in active young men [J]. Knee Surg Sports TraumatolArthrosc, 2011, 19(11): 1843-1850.
20
Shah AA, McCulloch PC, Lowe WR. Failure rate of Achilles tendon allograft in primary anterior cruciate ligament Reconstruction [J]. Arthroscopy, 2010, 26(5): 667-674.
21
Chehab EL, Flik KR, Vidal AF, et al. Anterior cruciate ligament Reconstruction using Achilles tendon allograft: an assessment of outcome for patients age 30 years and older [J]. HSS J, 2011, 7(1): 44-51.
22
Folsom GJ, Larson CM. Surgical treatment of acute versus chronic complete proximal hamstring ruptures: results of a new allograft technique for chronic reconstructions [J]. Am J Sports Med, 2008, 36(1): 104-109.
23
Lawhorn KW, Howell SM, Traina SM, et al. The effect of graft tissue on anterior cruciate ligament outcomes: a multicenter, prospective, randomized controlled trial comparing autograft hamstrings with fresh-frozen anterior tibialis allograft [J]. Arthroscopy, 2012, 28(8): 1079-1086.
24
Sun K, Zhang JH, Wang Y, et al. Arthroscopic Reconstruction of the anterior cruciate ligament with hamstring tendon autograft and fresh-frozen allograft: a prospective, randomized controlled study [J]. Am J Sports Med, 2011, 39(7): 1430-1438.
25
Dai CL, Wang F, Wang XM, et al. Arthroscopic single-bundle anterior cruciate ligament Reconstruction with six-strand hamstring tendon allograft versus bone-patellar tendon-bone allograft [J]. Knee Surg Sports TraumatolArthrosc, 2016, 24(9): 2915-2922.
26
Pascual-Garrido C, Carbo L, Makino A. Revision of anterior cruciate ligament Reconstruction with allografts in patients younger than 40 years old: a 2 to 4 year results [J]. Knee Surg Sports TraumatolArthrosc, 2014, 22(5): 1106-1111.
27
Yang R, Deng HQ, Hou JY, et al. Comparison of knee stability and synovial fluid alterations in anterior cruciate ligament Reconstruction with a hamstring autograft or an allograft [J]. Orthopedics, 2017, 40(5): e892-e897.
28
Sun K, Zhang JH, Wang Y, et al. A prospective randomized comparison of irradiated and non-irradiated hamstring tendon allograft for ACL Reconstruction [J]. Knee Surg Sports TraumatolArthrosc, 2012, 20(1): 187-194.
29
Tian SQ, Wang B, Liu L, et al. Irradiated hamstring tendon allograft versus autograft for anatomic Double-Bundle anterior cruciate ligament Reconstruction: midterm clinical outcomes [J]. Am J Sports Med, 2016, 44(10): 2579-2588.
30
Shumborski S, Salmon LJ, Monk C, et al. Allograft donor characteristics significantly influence graft rupture after anterior cruciate ligament Reconstruction in a young active population [J]. Am J Sports Med, 2020, 48(10): 2401-2407.
31
Sun R, Chen BC, Wang F, et al. Prospective randomized comparison of knee stability and joint degeneration for double- and single-bundle ACL Reconstruction [J]. Knee Surg Sports TraumatolArthrosc, 2015, 23(4): 1171-1178.
32
Moatshe G, Persson A, Fenstad AM, et al. High risk of failure after posterior cruciate ligament Reconstruction:study from the norwegian knee ligament registry 2004-2019 [J]. J ISAKOS, 2021, 6(6): 380-591.
33
Ebrahimzadeh MH, Shahpari O. Clinical outcome of anatomical arthroscopic posterior cruciate ligament Reconstruction with Achilles tendon allograft [J]. Arch Bone Jt Surg, 2021, 9(1): 79-84.
34
Kim SJ, Kim TW, Kim SG, et al. Clinical comparisons of the anatomical Reconstruction and modified biceps rerouting technique for chronic posterolateral instability combined with posterior cruciate ligament Reconstruction [J]. J Bone Joint Surg Am, 2011, 93(9): 809-818.
35
Yang JH, Yoo JR, Jeong HI, et al. Second-Look arthroscopic assessment of arthroscopic Single-Bundle posterior cruciate ligament Reconstruction [J]. Am J Sports Med, 2012, 40(9): 2052-2060.
36
Sanchez-Sotelo J, Morrey BF, Adams RA, et al. Reconstruction of chronic ruptures of the distal biceps tendon with use of an Achilles tendon allograft [J]. J Bone Joint Surg Am, 2002, 84(6): 999-1005.
37
Sanchez-Sotelo J, Bernard FM. Surgical techniques for Reconstruction of chronic insufficiency of the triceps [J]. J Bone Joint Surg, 2002, 84(8): 1116-1120.
38
Ho SWL, Denard PJ, Chong XL, et al. Achilles Tendon-Bone block allograft for massive rotator cuff tears with bony deficiency of the greater tuberosity: a minimum 2-Year follow-up study [J]. Orthop J Sports Med, 2022, 10(2): 23259671211073719.
39
Checchia CS, da Silva Luciana Andrade, Val Sella Guilherme Do, et al. Allograft-enhanced latissimus dorsi transfer is better than the conventional technique for irreparable posterosuperior rotator cuftears.A retrospective matched cohort [J]. Int Orthop, 2023, 47(6): 1527-1534.
40
Pogorzelski J, Horan MP, Godin JA, et al. Achilles tendon allograft-augmented latissimus dorsi tendon transfer for the treatment of massive irreparable posterosuperior rotator cuff tears [J]. Arch Orthop Trauma Surg, 2018, 138(9): 1207-1212.
41
Moore DR, Cain EL, Schwartz ML, et al. Allograft Reconstruction for massive, irreparable rotator cuff tears [J]. Am J Sports Med, 2006, 34(3): 392-396.
42
Kholinne E, Sun YC, Kwak JM, et al. Failure rate after superior capsular Reconstruction with Achilles Tendon-Bone allograft for irreparable rotator cuff tears [J]. Orthop J Sports Med, 2021, 9(5): 23259671211002280.
43
Noh JH, Roh YH, Lee K, et al. Achilles tendon allograft with its bony attachment to repair rupture and extensive degeneration of the heel cord [J]. Acta OrthopBelg, 2012, 78(5): 678-680.
44
Lykoudis EG, Contodimos GV, Ristanis S, et al. One-stage complex Achilles tendon defect Reconstruction with an Achilles tendon allograft and a gracilis free flap [J]. Foot Ankle Int, 2010, 31(7): 634-638.
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