摘要
目的观察及比较关节镜下自体及同种异体髌韧带移植重建膝前交叉韧带(anterior cruciate ligament,ACL)的临床疗效。方法自2000年1月至2003年8月,对58例外伤性膝ACL断裂的患者采用关节镜下分别以同种异体骨-中1/3髌腱-骨(B-PT-B)复合物(异体组28例)及自体B-PT-B复合物(自体组30例)进行移植重建,术后随访12个月以上,并对两组患者在肌力恢复、关节稳定性、膝关节功能评分、隧道扩大现象等方面进行对比研究。结果两组患者术后膝关节稳定性、关节症状均有明显好转,早期异体组肌力恢复较自体组为快。12个月时两组肌力恢复、膝关节功能评分、稳定性等比较,差异无统计学意义(P＞0．05)。两组X线片均存在隧道扩大现象,异体组较自体组多见(P＞0．05)。结论关节镜下同种异体韧带移植重建膝ACL疗效满意,应用方便,副作用少,是自体材料的良好替代物。
Objective To compare the effect of allograft and autograft of bone-patellar tendonbone （B-PT-B） under arthroscopy in reconstruction of anterior cruciate ligament （ACL）. Methods The injured ACL was reconstructed under arthroscopy by using autograft of B-PT-B in 30 cases and allograft of B-PT-B in 28 cases from January 2000 to August 2003. After over twelve months follow up, a comparison was done on rehabilitation of quadriceps femoris, knee stability, the Lysholm＇s score of knee and the enlargement of tunnel in both groups. Results Both groups obtained marked improvement of knee stability and symptoms after operation. But in the early time, the rehabilitation of quadriceps femoris in the allograft group is faster than that in the autograft group. The rehabilitation of quadriceps femoris, knee stability and the Lysholm＇ s score of knee were similar at 12th month （P 〉 0. 05 ）. There could be seen enlargement of tunnel in both groups, with more in the allograft group （ P 〉 0.05 ）. Conclusion For arthroscopic reconstruction of anterior crucial ligament （ ACL）, allograft of B-PT-B is good substitute, for it is characterized by effectiveness, convenience and minor side effect.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2006年第6期420-423,共4页
Chinese Journal of Trauma
关键词
前交叉韧带
关节镜检查
移植
同种
Anterior cruciate ligament
Arthroscopy
Transplantation, homologous
