Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics13810.21823/2311-2905-2015-0-2-106-116ReviewsОбзорыReviewsUse of platelet-rich plasma for bioplastic processes stimulation after arthroscopic reconstruction of anterior cruciate ligament (review)Применение обогащенной тромбоцитами плазмы для стимуляции биопластических процессов после артроскопической реконструкции передней крестообразной связки коленного сустава (обзор литературы)RybinA. V.РыбинА. В.
Russian Federation
bynya@list.ruKuznetsovI. A.КузнецовИ. А.
Russian Federation
NetylkoG. I.НетылькоГ. И.
Russian Federation
RumakinV. P.РумакинВ. П.
Russian Federation
RykovY. A.РыковЮ. А.
Russian Federation
Vreden Russian Research Institute of Traumatology and OrthopedicsФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава РоссииMechnikov Northwestern State Medical UniversityГБОУ ВПО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России12092015212106116120920162015https://journal.rniito.org/jour/article/view/138

Based on the analysis of the scientific publications, the authors analyzed the possibilities and effectiveness of platelet- rich plasma (PRP) application as a stimulator of engraftment and biological transformation of tendinous autografts and allografts after arthroscopic reconstruction of knee anterior cruciate ligament. The topic of impossibility of spontaneous recovery of torn anterior cruciate ligament of knee, and describe the staging of biological incorporation of tendinous transplant in a bone wall was discussed. The authors presented methods and techniques of accelerating engraftment of free tendinous graft into bone channels described in the literature and the difference of terms of remodeling the autografts and allografts. The effect of different techniques of sterilization and preservation of tendinous allografts on the change of their biological properties was disclosed.

На основании анализа научных публикаций проанализированы возможности и эффективность применения обогащенной тромбоцитами плазмы как стимулятора процессов приживления и биологической трансформации сухожильных ауто- и аллотрансплантатов после артроскопической реконструкции передней крестообразной связки коленного сустава. Обсуждается вопрос о невозможности самопроизвольного восстановления передней крестообразной связки после ее разрыва, описывается стадийность биологической инкорпорации сухожильного трансплантата в стенку костного канала. Освещаются описанные в литературе методики и способы ускорения процессов приживления свободного сухожильного трансплантата в костных каналах, а также разница сроков ремоделирования ауто- и аллотрансплантатов. Показано влияние разных способов стерилизации и консервации аллосухожилий на изменение их биологических свойств.

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