深层肌筋膜组织网络与股四头肌腱自体移植物：临床评论
简介
一项临床评论从深层肌筋膜组织网络视角比较了ACL重建中股四头肌腱与腘绳肌腱、骨-髌腱-骨自体移植物的差异。作者指出，股四头肌腱组织学及形态学异质性更高，取材时对腱膜融合点的损伤可能损害股四头肌神经肌肉功能及筋膜网络的负荷分担。物理治疗师应认识各移植物固有差异，未来需研究取材缺损的愈合特性及腱膜融合点的保留策略。
英文摘要
BACKGROUND: Quadriceps tendon (QT) autograft use for anterior cruciate ligament reconstruction (ACLR) has increased. Like other ACLR tendon autografts, this tissue is a component of the deep myofascial tissue network. CLINICAL QUESTION: How does QT autograft use for ACLR compare to hamstring tendon and bone-patellar tendon-bone autograft use from a deep myofascial tissue network perspective? KEY RESULTS: The QT is a histologically and morphologically less homogenous tissue than bone-patellar tendon-bone and hamstring tendon autografts. Harvest site damage to QT aponeurosis fusion points during surgical harvest may impair quadriceps femoris neuromuscular function and deep myofascial tissue network load sharing. CLINICAL APPLICATION: Physical therapists should be aware of inherent differences between ACLR tendon autografts. Studies are needed to better elucidate QT histological and morphological harvest defect tissue healing properties and how best to either preserve aponeurosis fusion points or minimize their damage. JOSPT Open 2026;4(3):254-263. Epub 25 March 2026. doi:10.2519/josptopen.2026.0184.