关节镜下膝关节交叉韧带断裂重建术Arthroscopic reconstruction of ruptured cruciate ligament of knee
孟险峰;周磊;崔正礼;张冠宏;金勇;王国华;李胜;
摘要(Abstract):
[目的]探讨膝关节镜下采用自体腘绳肌肌腱重建前/后交叉韧带的方法和效果。[方法]回顾性分析38例关节镜下应用自体腘绳肌肌腱单束四股移植重建前/后交叉韧带的情况,采用Lysholm关节评分评价疗效。[结果]平均随访26.5个月,Lysholm关节评分由术前52分提高到术后91分,优良率89.5%。[结论]关节镜下自体腘绳肌肌腱单束四股重建前/后交叉韧带创伤小,疗效优良,稳定性好,并发症少。早期系统训练可改善预后。
关键词(KeyWords): 前交叉韧带;后交叉韧带;关节镜;重建;腘绳肌肌腱
基金项目(Foundation):
作者(Author): 孟险峰;周磊;崔正礼;张冠宏;金勇;王国华;李胜;
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DOI:
参考文献(References):
- [1]Michael W,Max K,Jessica S.Hamstring tendon versus patellar ten-don anterior cruciate ligament reconstruction using biograble interfer-ence fit fixation[J].Am J Sports Med,2005,9:1327-1336.
- [2]龚熹,敖英芳.自体髌腱与自体四股腘绳肌腱重建前交叉韧带对髌股关节软骨影响的关节镜对比观察研究[J].中国运动医学杂志,2007,3:271-274.
- [3]尹东,Jeremy B.关节镜下髌韧带与腘绳肌腱重建前交叉韧带的疗效比较[J].中华创伤杂志,2005,2:84-86.
- [4]Freedman KB,D’Amato MJ,Nedeff DD,et al.Arthroscopic anterior cruciate ligament reconstruction:a meta-analysis comparing patella tendon and hamstring tendon autografts[J].Am J Sports Med,2003,31:2-11.
- [5]Aglietti P,Giron F,Buzzi R,et al.Anterior cruciate ligament recon-struction:bone-patellar tendon-bone compared with double semi-tendinous and gracilis tendon grafts.A prospective,randomized clini-cal trial[J].J Bone Jiont Surg(Am),2004,86:2143-2155.
- [6]郭林,杨柳.膝关节前交叉韧带的发育与结构生理[J].中国临床康复,2005,18:188-189.
- [7]刘平,敖英芳.膝关节后交叉韧带股骨止点与韧带重建股骨骨道定位的临床解剖学研究[J].中国运动医学杂志,2008,3:270-274.
- [8]Ristanis S,Giakas G,Papageorgiou CD,et al.The effects of anterior cruciate ligament reconstruction on tibial rotation during pivoting after descending stairs[J].Knee Surg Sports Traumatol Arthrosc,2003,11:360-365.
- [9]岳勇,阿德力,哈巴西.膝关节前交叉韧带损伤的早期手术和晚期手术的系统评价[J].中国矫形外科杂志,2008,8:574-576.