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中华老年病研究电子杂志 ›› 2021, Vol. 08 ›› Issue (04) : 5 -9. doi: 10.3877/cma.j.issn.2095-8757.2021.04.002

老年骨科疾病

前交叉韧带损伤后老年创伤性骨关节炎的诊治进展
杨溯1, 李杭隆1, 郑来1, 韩鹏飞2,()   
  1. 1. 046000 山西省长治医学院
    2. 046000 长治,山西省长治医学院附属和平医院骨科
  • 收稿日期:2021-04-30 出版日期:2021-11-28
  • 通信作者: 韩鹏飞
  • 基金资助:
    长治医学院博士科研启动基金项目(BS202004)

Progress in diagnosis and treatment of traumatic osteoarthritis in the elderly after anterior cruciate ligament injury

Su Yang1, Hanglong Li1, Lai Zheng1, Pengfei Han2,()   

  1. 1. Changzhi Medical College, Changzhi 046000, China
    2. Department of Orthopaedics, Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China
  • Received:2021-04-30 Published:2021-11-28
  • Corresponding author: Pengfei Han
引用本文:

杨溯, 李杭隆, 郑来, 韩鹏飞. 前交叉韧带损伤后老年创伤性骨关节炎的诊治进展[J/OL]. 中华老年病研究电子杂志, 2021, 08(04): 5-9.

Su Yang, Hanglong Li, Lai Zheng, Pengfei Han. Progress in diagnosis and treatment of traumatic osteoarthritis in the elderly after anterior cruciate ligament injury[J/OL]. Chinese Journal of Geriatrics Research(Electronic Edition), 2021, 08(04): 5-9.

目前,尽管研究认为前交叉韧带(anterior cruciate ligament, ACL)损伤后重建有预防老年人膝关节创伤性骨关节炎(post-traumatic osteoarthritis, PTOA)发生的作用,但ACL损伤后进展为PTOA的机制复杂,也缺乏有效的诊断手段和监测指标,治疗方式也较局限。对于存在ACL损伤病史的患者,尤其是接受ACL重建手术的中年人,虽然膝关节稳定性得到恢复,但60岁以后PTOA的发生率仍然很高,给其生活造成了极大的困扰。因此,PTOA的早期发现和干预非常重要。本文将针对ACL损伤后进展为PTOA的可能机制、早期诊断方法、有效干预措施等方面进行综述,以期为临床提供参考。

At present, although studies believe that reconstruction after anterior cruciate ligament (ACL) injury can prevent post-traumatic osteoarthritis (PTOA) in the elderly, the mechanism of progression to PTOA after ACL injury is complex, there is a lack of effective diagnostic methods and monitoring indicators, and the treatment method is also limited. For patients with a history of ACL injury, especially middle-aged people undergoing ACL reconstruction surgery, although the stability of the knee joint has been restored, the incidence of PTOA after the age of 60 is still very high, which has caused great trouble to their lives. Therefore, the early detection and intervention of ptoa is very important. This paper will review the possible mechanism, early diagnosis methods and effective intervention measures of the progression from ACL injury to ptoa, in order to provide reference for clinical practice.

图1 ACL损伤后老年PTOA的发生机制 注:ACL指前交叉韧带;PTOA指创伤性骨关节炎
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