摘要
目的:探讨膝关节镜下应用多股腘绳肌腱双束双隧道重建前交叉韧带(anterior cruciate liga-ment,ACL)的方法及疗效。方法:ACL损伤患者21例,男性13例,女性8例,平均年龄25.4(17～50)岁,全部经膝关节镜最后确诊。并在关节镜下分别于ACL股骨胫骨附着处建立两骨隧道,重建ACL的前内侧束及后外侧束;股骨侧以带袢钢板(Endo-buttons)悬吊固定,胫骨侧以生物型阻滞螺钉固定。结果:术后随访15.8(13～23)月。术前所有患者前抽屉试验均为阳性,Lachman试验19例阳性。术后屈膝90°时前抽屉试验20例阴性,1例阳性;Lachman试验19例阴性,1例弱阳性,1例阳性。Lysholm评分术前36～58分,术后71～95分,术后总优良率95.2%。结论:双隧道多股自体腘绳肌腱重建ACL能更好地有效恢复膝关节动态稳定性,疗效满意。
Objective To explore surgical reconstruction and clinical effect of arthroscopic double-bundle double-tunnel reconstruction of anterior cruciate ligament(ACL) with multi-strand hamstring tendons autograft.Methods Twenty-one patients(13 males and 8 females) with ACL deficiency were diagnosed with arthroscopy,with an average age of 25.4(17～50) years.The 2 separate tibial tunnels and 2 femoral tunnels were drilled on the footprint of the ACL to reconstruct the anteromedial and posterolateral bundles with arthr...
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2009年第3期216-220,共5页
Journal of Central South University ：Medical Science
基金
湖南省自然科学基金(07JJ5062)
湖南省科技厅科研项目(2008GK3014)~~
