摘要
目的 对比前交叉韧带自体肌腱重建联合全关节镜下修复内侧副韧带损伤与传统切开修复的临床疗效。方法 选取2018年1月至2023年1月于我院就诊的64例前交叉韧带损伤合并内侧副韧带损伤患者,分为前交叉韧带自体肌腱重建联合内侧副韧带全关节镜下修复组与切开修复组各32例。比较两组术后并发症发生率,以及术后6月、12月和24月的膝关节功能评分(Lysholm评分、Tegner评分、IKDC评分)和膝关节稳定性。结果 全关节镜下修复组术后并发症发生率低于切开修复组(P<0.05);术后6月、12月和24月,全关节镜下修复组的Lysholm评分、IKDC评分均高于切开修复组(P<0.05),Tegner评分在术后12月和24月时,全关节镜下修复组高于切开修复组(P<0.05)。术后随访两组的稳定性无明显统计学差异。结论 前交叉韧带自体肌腱重建联合全关节镜下修复内侧副韧带损伤,相较于传统切开修复,具有创伤小、恢复快、并发症少的优势,能更好地恢复膝关节功能,并有可靠的稳定性。
Objective To compare the clinical efficacy of autologous reconstruction of the anterior cruciate ligament combined with arthroscopic repair of the medial collateral ligament injury with that of traditional open repair.Methods A total of 64 patients with anterior cruciate ligament injury complicated by medial collateral ligament injury who were treated in our hospital from January 2018 to January 2023 were selected.They were divided into two groups:the group undergoing autologous reconstruction of the anterior cruciate ligament combined with arthroscopic repair of the medial collateral ligament and the open repair group,with 32 cases in each group.The incidence of postoperative complications,as well as the knee joint function scores(Lysholm score,Tegner score,IKDC score)and knee joint stability at 6 months,12 months,and 24 months after surgery were compared between the two groups.Results The incidence of postoperative complications in the arthroscopic repair group was lower than that in the open repair group(P<0.05).At 6 months,12 months,and 24 months after surgery,the Lysholm scores and IKDC scores in the arthroscopic repair group were higher than those in the open repair group(P<0.05).The Tegner scores in the arthroscopic repair group were higher than those in the open repair group at 12 months and 24 months after surgery(P<0.05).There was no significant statistical difference in the stability between the two groups during the postoperative follow-up.Conclusions Compared with traditional open repair,autologous reconstruction of the anterior cruciate ligament combined with arthroscopic repair of the medial collateral ligament injury has the advantages of less trauma,faster recovery,and fewer complications.It can better restore the knee joint function and has reliable stability.
作者
吴李闯
叶奕亨
刘彩龙
Wu Lichuang;Ye Yiheng;Liu Cailong(Department of Orthopedics,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang Province,China)
出处
《中国临床解剖学杂志》
北大核心
2025年第6期703-709,共7页
Chinese Journal of Clinical Anatomy
关键词
前交叉韧带
内侧副韧带
全关节镜下修复
切开修复
临床疗效
Anterior cruciate ligament
Medial collateral ligament
Arthroscopic repair
Open repair
Clinical efficacy
