摘要
回顾性分析2007-01/07解放军广州军区广州总医院骨科收治的男性后交叉韧带损伤患者11例。采用股骨双隧道Y型双束LARS人工韧带进行关节镜下后交叉韧带重建,分别于屈膝90°和30°位拉紧固定。11例患者均获得随访,所有患者均未出现滑膜炎、韧带断裂、活动明显受限等并发症。术后X射线示挤压螺钉位置准确,术后抽屈试验全部阴性。术前IKDC评分为D级8例,C级3例;术后早期为A级10例,B级1例,差异有显著性意义(χ2=9.142,P<0.05)。术前及术后Lysholm膝关节功能评分为(65.2±5.6)分和(90.7±3.6)分,差异有显著性意义(t=10.572,P<0.05)。
A retrospective analysis was conducted among 11 patients with posterior cruciate ligament injuries, who were enrolled from Department of Orthopaedics in Guangzhou General Hospital of Guangzhou Military Area Command of Chinese PLA from January to July in 2007. Arthroscopic reconstructions of posterior cruciate ligament were performed by using the ligament advanced reinforcement system (LARS) Y-shape bundles artificial ligament. Y-shape double cords of LARS artificial ligament were fixed at 90° and 30°flexion respectively. All 11 patients received the follow-ups. There were no complications occurred, such as synovitis, ligament rupture or limited motion. X-ray results proved the extrused screws were positioned well. Posterior drawer test, Lachman's test and pivot shift test were negative after surgery. According to the international knee documentation committee activity grades, grade D were 8 cases and grade C were 3 cases preoperatively; while grade A were 10 cases and grade B was 1 case postoperatively, with the significant differences (Х^2=9.142, P 〈 0.05). The clinical assessment judging by lysholm knee functional scoring system showed that, average scores before operation was (65.2±5.6) and increased to an average of (90.7±3.6) postoperatively (t=10.572, P 〈 0.05).
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2008年第36期7110-7113,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research