摘要
目的：报告带血管筋膜移植修复膝关节软骨大面积缺损的疗效。材料和方法：１２个膝关节软骨全厚缺损均采用以膝降动脉为蒂的小腿前内侧筋膜瓣移植进行修复。结果：术后随访１．５～８年，平均３．５年，膝关节活动范围术前平均４２°，术后１１４°，按照美国膝关节学会人工关节置换术疗效评定标准，运动部分术前平均得分５５．３分，术后９０．７分；功能部分术前平均得分２５．８分，术后８７分。结论：与人工膝关节置换术相比，采用带血管蒂筋膜移植修复膝关节软骨大面积缺损具有对膝关节正常结构破坏小、并发症少、费用低、远期效果好等优点。
Objective:Toreportthecurativeresultsofmassiveful-thicknessofthearticularsurfaceofthekneerepairedwithtransplantationofvascularizedfascialflaps.Methods:Massiveful-thicknessdefectsofthearticularsurfacein12kneesrepairedwithvascularizedfascialflapsprocuredfromthean-terior-medialaspectofthelegandpedicledbyarteriagenusdescendens.Results:Alpatientswerefol-lowedupfor1.5～8yearswithanaverageof3.5yearsandtheaveragerangeofmotionofthekneesim-provedfromanaverageof42degreestoanaverageof114degreespostoperatively.Accordingtothecri-teriaoftheAmericanKneeAssociation,themeanmovementscorewasincreasedfrom55.3to90.7andthefunctionscorewasincreasedfrom25.8to87respectively.Conclusion:Incomparionwiththepros-theticreplacement,thismethodcausedlessdamagetonormaljointstructure,hadlesscomplication,costmuchlessandgavebeterlong-termresults.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1996年第8期479-481,共3页
Chinese Journal of Orthopaedics
关键词
膝关节
关节软骨缺损
筋膜
移植
KneejointArticularcartilageFasciaTransplantation
