编委评论：不同移植物，不同问题——为何前交叉韧带移植物选择需要个体化决策
简介
这篇述评指出，ACL移植物选择需基于年龄、活动水平及患者-膝关节特异性因素进行个体化决策与医患共议。骨-髌腱-骨与股四头肌腱自体移植物在患者报告结局、重返运动及失败率方面相似，但新证据表明股四头肌腱可能供区病损更少。临床医生应关注供区病损报告标准化的不足，以优化移植物选择。
英文摘要
Anterior cruciate ligament graft selection requires an individualized approach and shared decision-making based on age, activity level, and numerous other patient- and knee-specific factors. Advantages and disadvantages exist with all graft types. Clinically, many studies have shown similar patient-reported outcomes, return-to-sport, and graft failure rates when comparing bone-patellar tendon-bone and quadriceps tendon grafts. Recently, there has been emerging evidence that quadriceps tendon autografts may offer a donor-site morbidity advantage over bone-patellar tendon-bone grafts while maintaining comparable clinical outcomes. However, the literature has been filled with inconsistencies on how donor-site morbidity is reported. Therefore, further research that explores donor-site morbidity for different graft types using a standardized tool could significantly contribute to optimal graft selection.