社论述评:前交叉韧带手术联合外侧关节外加强术安全但非无风险——是否应对所有患者实施?
简介
这篇述评指出,前交叉韧带重建术中加用外侧关节外加强(LET)是安全的,但并非没有风险。尽管该技术能有效降低再损伤和翻修率,但关键挑战在于精准筛选最合适的患者,以平衡疗效与潜在并发症,而非对所有患者常规使用。
英文摘要
Anterior cruciate ligament reconstruction is a constantly evolving procedure, and we continue to push the limits to improve outcomes for our patients. As rates of reinjury continue to be higher than we desire, we have consistently sought methods to improve postoperative outcomes and reduce the rates of revision surgeries. The rebirth of lateral extra-articular augmentation procedures has given us a strong tool to leverage to achieve these goals. It is essential that we continue to appreciate the price of this progress and fully understand the risks of augmenting our existing surgical techniques. Finding the optimal patients on whom to utilize these techniques is the key to balancing our success in this challenging patient population.