摘要
目的观察关节镜下同时重建前、后交叉韧带的近期临床疗效。方法前、后交叉韧带同时断裂患者22例，关节镜下以双侧胴绳肌肌腱为移植物，股骨端采用Eodobtton悬吊固定，胫骨端采用可吸收界面挤压螺钉固定，同时进行前、后交叉韧带重建；术后佩带刻度盘氏支具固定3个月进行康复锻炼。结果术后前、后抽屉试验及轴移试验均为阴性，Lysholm评分（92．5±2．3）较术前（25．5±1．2）明显提高，无切口感染、韧带断裂等并发症发生；随访6个月∽5a，患膝关节恢复正常。结论关节镜下固定双侧胭绳肌肌腱同时重建前、后交叉韧带近期疗效确切，安全性高，有助于增加膝关节稳定性。
Objective To investigate the short term effect of simultaneous reconstruction of anterior cruciate ligament （ACL） and posterior cruciate ligament （PCL） under arthroscopy. Methods Twenty-two pauents with ACL and PCL rupture were performed ACL and PCL reconstruction under arthroscopy with hamstring technique, taking Eodobtton suspending fixation at femoral end and absorbable interference extruding screw at tibia end. All patients received 3-month rehabil（tation exercise with dial＇s brace after operation. Results After the operation, anterior and posterior drawer test and pivot shift test showed negative. Lysho[m score was improved from 25.5±1. 2 before operation to 92.5±2. 3 after operation. No complications as wound infection and ligament rupture occurred. The patient＇s knee joint function regained in 6-month to 5-year follow-up survey. Conclusion Simultaneous reconstruction of ACL and PCL under arthroscopy with hamstring technique has definite short-term effect, high security and good knee stability.
出处
《中华实用诊断与治疗杂志》
2015年第8期800-801,共2页
Journal of Chinese Practical Diagnosis and Therapy
关键词
交叉韧带损伤
关节镜
功能重建
Cruciate ligament injury
arthroscopy
functional reconstruction
