摘要
目的探讨关节镜下应用自体肌腱同时重建膝关节前后交叉韧带的临床效果。方法对2008年1月至2012年12月收治的19例膝关节前后交叉韧带同时断裂的患者，切取健侧胭绳肌肌腱及双侧腓骨短肌肌腱分别对折成四股。关节镜下同时重建前后交叉韧带，股骨端应用Endobutton固定，胫骨端应用吸收界面螺钉固定。结果19例均获随访，平均27．6个月（9～66个月）。切口l期愈合，无感染。其中新鲜伤11例，陈旧性损伤8例。合并内侧副韧带损伤9例，予以修复。合并外侧副韧带损伤4例。术后3个月膝关节活动范围均超过120，无伸膝受限。Lyshlom评分（90．6±3．5）分。结论关节镜下自体肌腱一期同时重建膝关节前后交叉韧带方法简便，疗效确切，能有效恢复膝关节的功能。
Objective To evaluate the results of an alternative procedure of arthroscopic anterrir cruciate ligment （ACL） and posterior cruciate ligment （PCL） reconstruction using hamstring tendon and peroneus brevis. Methods From January 2008 to December 2012, 19 patients with both ACL and PCL injures were treated as following ：the senaitendinosus, gracilis and peroneus brevis were transplanted under arthroscope and grating were fixed by Endobutton in fumur and absorbable interference screw in tibia. Results All patients were followed up for 9 months to 66 months, averaging 27.6 months. The incision of all patients healed without infection. There were 11 fresh and 8 old injuries. No extension limitation occurred and the flexion degree was more than 1200 in all patients 3 months postoperatively. The Lysholm knee score was （90.6±3.5）. Conclusion Arthroscopic reconstruction of the ACL and PCL with hamstring tendon and peroneus brevis is effective and reliable for the restoration of knee function.
出处
《中国医药指南》
2014年第2期11-12,共2页
Guide of China Medicine
关键词
关节镜
前交叉韧带
后交叉韧带
移植
自体
腘绳肌腱
腓骨短肌腱
Arthroscopy
Anterior cruciate ligament
Posterior cruciate ligament
Transplantation
Self
Hamstring tendons
The peroneus brevis tendon
