摘要
目的报告关节镜下自体髌腱中１／３重建前交叉韧带（ＡＣＬ），并分析影响手术效果的因素。方法采用关节镜下自体骨－髌腱－骨（ＢＰＴＢ）中１／３重建ＡＣＬ。手术１５例，男１０例，女５例。年龄２１～４０岁，平均２６岁。术后随访５～１９个月，平均随访１３个月。术前抽屉试验１５例均阳性，术后２例阳性；轴移试验３例阳性，术后均消失；Ｌａｃｈｍａｎ试验１５例阳性，术后２例弱阳性；膝前疼痛３例。结果按照日本骨科学会制定的膝关节疗效评定标准，优６例、良６例、中３例，优良率达８００％。结论术中选择等长点，测量关节内重建韧带的长度，获取标准的髌腱两端骨块及胫骨、股骨隧道，并正确使用挤压螺钉固定两骨块于隧道中是减少并发症，提高手术效果的关键。该手术创伤小，关节内环境影响小，可同时进行关节内其他手术，术后恢复快，是ＡＣＬ重建的优良方法。
Objective To report the methods of arthroscopic
reconstruction of anterior cruciate ligament (ACL) by bone-patellar tendon-bone (B-PT-B) and to
evaluate the clinical resutls Methods A technique of arthroscopic reconstruction of the anterior
cruciate ligament using the mid-one third of the autologous bone-patellar tendon-bone strip was
used in 15 cases Including 10 females and 5 males,with an age range of 21 to 42 years (mean
21 years) Followup period extended from 5 to 19 months (mean 13 months)The anterior drawer
test was positive in 15 cases preoperatively and 2 cases postoperatively The pivot shift test
was positive in 3 cases preoperatively and negative in all postoperatively The Lachmans test
was positive in 15 cases preoperatively and 2 cases weakly positive after the operation Three
cases still had anterior patellar pain]Results \ According to the criteria of knee joint function
evaluation set up by the Japenese Association of Orthopaedics , excellent results were found in
6 patients, good in 6 and fair in 3 The excellent and good rate was 800% Conclusions\ The
procedure not only has the advantage of minimal injury, rapid rehabilitation but also can deal
with the other pathological conditions within knee joint at one sitting Reconstruction of ACL
under arthroscopy is worthy to be used widely
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1999年第5期275-277,共3页
Chinese Journal of Orthopaedics
关键词
关节镜
膝关节
前交叉韧带
自体髌腱重建
ArthroscopyKnee jointPatellar
ligamentAnterior cruciate ligament
