摘要
目的探讨前交叉韧带（ACL）陈旧损伤的诊治及疗效。方法2010年1月至2011年12月，采用关节镜下单束自体四股胴绳肌腱重建ACL。本组共22例（男18例．女4例），年龄18～46岁（平均31．6岁）；观察术后Lysholm评分及关节前向松弛度差值变化。结果所有病例均获得随访，随访时间7～24个月（平均12．5个月），均未发生感染、血管神经损伤、内固定物松动及深静脉血栓等并发症；术前Lysholin评分为42～64分（平均53．2分），关节前向松弛度差值3．4～4.3mm（平均3．72mm）；术后Lysholm评分为88～96分（平均93．2分），关节前向松弛度差值1．2～2．4mm（平均1．64mm）。结论关节镜下自体四股胭绳肌腱重建ACL，是一种治疗ACL陈旧损伤的可靠方法，术中在治疗关节失稳的同时．需同时对关节内软骨、半月板等结构损伤进行修复，以增强膝关节的稳定性。本方法疗效确切，值得临床推广应用。
Objective To investigate the effects of ACL repair with auto-hamstring tendon. Methods From Jan. 2010-Dec. 2011, 22 cases with ACL chronic injury were treated by auto-arthroscopic hamstring tendon. There were 18 males and 4 females with an average age of 31.6 years （range 18-46 years）. Forward relax lever of knee joint was measured after operation. Results All cases were followed up 7-24 months （mean 12.5 months）. Complications such as infections, vascular injury, loose inter-fixation and thrombosis of deep vein were not observed. According lysholm crietion, the score was 42-64 before operation, and 88-96 after operation. The different value of forward relax lever of knee joint was reduced from 3.4-4.3 mm to 1.2-2.4 mm. Conclusion This technique is a effective operation to stabilize knee joint, reduce the symtom and decrease complications.
出处
《组织工程与重建外科杂志》
2012年第5期286-287,共2页
Journal of Tissue Engineering and Reconstructive Surgery
关键词
前交叉韧带
陈旧损伤
膝关节
Anterior cruciate ligament
Chronic injury
Knee joint
