[1]吴术红,刘毅#,张承昊,等.不稳定型前交叉韧带部分断裂的解剖重建[J].郑州大学学报(医学版),2012,(01):121.
 WU Shuhong,LIU Yi,ZHANG Chenghao,et al.Anatomical reconstruction of unstable partial anterior cruciate ligament tears[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(01):121.
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不稳定型前交叉韧带部分断裂的解剖重建
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年01期
页码:
121
栏目:
应用研究
出版日期:
2012-01-20

文章信息/Info

Title:
Anatomical reconstruction of unstable partial anterior cruciate ligament tears
作者:
吴术红刘毅#张承昊熊华章邹刚
遵义医学院附属医院骨一科 遵义 563003
Author(s):
WU ShuhongLIU YiZHANG ChenghaoXIONG HuazhangZOU Gang
Department of Orthopaedics,the Affiliated Hospital,Zunyi Medical College,Zunyi 563003
关键词:
前交叉韧带部分断裂解剖重建
Keywords:
anterior cruciate ligament partial tears anatomical reconstruction
分类号:
R686.5
摘要:
目的:评价不稳定型前交叉韧带(ACL)部分断裂解剖重建的临床效果。方法:21例不稳定型ACL部分断裂患者先行诊断性关节镜检查,保留健存纤维束,采用自体腘绳肌腱重建断裂的纤维束。采用Tegner、Lysholm评分系统评价膝关节功能,以KT2000值评估关节稳定性。结果:21例患者平均随访13.5个月。末次随访时19例前抽屉试验(ADT)、Lachman试验均为(-),1例Lachman试验(-)/ADT(+),1例ADT(-)/Lachman试验(+)。21例末次随访时Tegner评分从术前的(2.27±0.79)分提高到(7.36±1.68)分,Lysholm膝关节功能评分从术前(73.6±3.4)分提高到(94.6±2.5)分,屈膝30°位KT2000双侧差值从术前的(4.2±0.8) mm减少到(2.2±1.1) mm(t=9.836、7.356和10.482,P<0.001)。结论:保留健存纤维束,解剖重建不稳定型ACL部分断裂,临床效果良好。
Abstract:
Aim:To estimate the clinical effects of anatomical reconstruction of unstable partial anterior cruciate ligament(ACL) tears.Methods:A total of 21 patients with unstable partial ACL tears were examined diagnostically under arthroscopy;the healthy bundle was preserved and the ruptured bundle was reconstructed with hamstring autograft.The function of knees was estimated by Tegner Activity Scale and Lysholm Score,and the stability of knees was examined by KT2000.Results:All the 21 patients were followed up for 13.5 months at average.At last followup, the results of both the anterior drawer test(ADT) and Lachman test were negative in 19 patients. The result of ADT was positive and Lachman test was negative in 1 patient.The result of Lachman test was positive and ADT was negative in 1 patient.The Tegner Activity Scale increased from preoperative (2.27±0.79) to postoperative (7.36±1.68),the Lysholm Score increased from preoperative (73.6±3.4) to (94.6±2.5),and the average sidetoside difference with KT2000 at 30° flexion decreased from preoperative(4.2±0.8) mm to(2.2±1.1) mm(t=9.836,7.356 and 10.482,P<0.001).Conclusion:Anatomical reconstruction of unstable partial ACL tears with preserving the healthy bundle can attain excellent clinical results.

参考文献/References:

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[1]吴术红,刘毅#.自体腘绳肌腱单束重建前交叉韧带术中失误分析[J].郑州大学学报(医学版),2011,(06):942.
[2]谷晨熙,许建中#,田科,等.关节镜下应用Rigidfix、Endobutton及Intrafix重建膝关节前交叉韧带术后功能恢复效果观察[J].郑州大学学报(医学版),2012,(06):877.

备注/Memo

备注/Memo:
doi:10.3969/j.issn.16716825.2012.01.040 #通讯作者,1962年2月生,本科,主任医师,研究方向:运动损伤,Email:liuyi9536@163.com
更新日期/Last Update: 1900-01-01