徐又佳;董启榕;周海滨;陈海南;王向利;汪益;谢宗刚;茅泳涛;郑祖根;

• 1:苏州大学附属第二医院骨科

摘要(Abstract)：

[目的]探讨在关节镜下运用"LARS人工韧带"重建膝前交叉韧带的手术方法和临床疗效。[方法]2006年6月起运用法国LARS膝关节前交叉韧带治疗急性前交叉韧带断裂15例,男11例,女4例,年龄22~51岁(平均26.8岁)。所有患者术前Arto-scan均提示前交叉韧带连续信号中断,膝关节Lysholm评分平均50分。治疗在关节镜下完成,股骨隧道口定位在外髁内侧面140°弓形弧的中心点,胫骨隧道口定位在平台内外侧髁间嵴之间、髁间窝顶线后2~4 mm。骨隧道直径为7.5 mm、LARS韧带直径为8 mm、空心挤压螺钉直径为8 mm。[结果]经平均18个月随访,术后Lysholm评分平均90分,优8例,良5例,可2例,近期优良率为86.6%。本组无术后感染、无韧带自发断裂、无韧带松动并发症。[结论]运用"LARS人工韧带"重建膝前交叉韧带可达到解剖重建,可有效恢复膝关节稳定性;关节镜下手术拥有创伤小、康复快、疗效好等微创特点。

关键词(KeyWords)： 关节镜;LARS人工韧带;前交叉韧带;重建术

Abstract:

Keywords:

基金项目(Foundation): 江苏省“六大人才高峰”培养项目(07-B032);; 江苏省“医学重点人才”培养项目(RC2007100);; 苏州市社会发展项目(SS0712)

作者(Author): 徐又佳;董启榕;周海滨;陈海南;王向利;汪益;谢宗刚;茅泳涛;郑祖根;

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参考文献(References)：

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