全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

关节镜下六股自体?绳肌肌腱胫骨双隧道重建膝前交叉韧带

, PP. 1404-1407

Keywords: 膝关节,前交叉韧带,重建术,关节镜

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的观察关节镜下六股“人”字形自体?绳肌肌腱经胫骨双隧道重建膝前交叉韧带(anteriorcruciateligament,ACL)手术方法的可靠性和近期疗效。方法取自体股薄肌及半腱肌肌腱反折编织形成六股“人”字形移植物,采用关节镜下胫骨双隧道、股骨单隧道及界面螺钉固定方法行ACL重建手术32例;同时行半月板部分切除成形术17例,大部分切除术2例,修补术2例;软骨损伤病灶修整6例,内侧副韧带修补3例。其中30例患者获得随访,随访时间7~22个月,平均14个月。结果全部获随访者术后患膝关节活动度均正常,Lysholm评分由术前(62.0±4.5)分提高到(93.2±3.6)分(t=2.469,P<0.01),KT-1000测定移动度为(1.3±0.4)mm;复查MRI显示胫骨骨隧道扩大2例,前内侧束髁间窝撞击4例。所有患者的X线平片未见明显关节间隙改变。结论关节镜下六股自体?绳肌肌腱经胫骨双隧道、股骨单隧道及界面挤压螺钉固定方法重建ACL,其手术创伤少,并能最大限度恢复ACL的解剖重建,近期疗效佳。

References

[1]  李卫平,黄建荣,沈慧勇,等.? 关节镜下六股自体?绳肌肌腱胫骨双隧道重建膝前交叉韧带[J].第三军医大学学报,2008,30(15):1404-1407.
[2]  于攀,汪军,洪志坚,等.可吸收性生物敷料在特大面积深度烧伤患者膝部创面修复中的应用[J].第三军医大学学报,2015,37(19 ):1926.  Yu Pan,Wang Jun,Hong Zhijian,et al.Absorbable biological dressing repairs knee wounds caused by exceptionally large area burns in 8 cases[J].J Third Mil Med Univ,2015,37(15):1926. [2]张玉梅,何洁.人工全膝关节置换术后急性低血压的相关因素分析及护理对策[J].第三军医大学学报,2013,35(04):363. [3]王序全,吴雪晖,罗飞,等.微创内固定系统在膝关节周围骨折治疗中的初步应用[J].第三军医大学学报,2008,30(08):671.  WANG Xu-quan,WU Xue-hui,LUO Fei,et al.Less invasive stabilization system for fracture around knee joint[J].J Third Mil Med Univ,2008,30(15):671. [4]刘玉杰,薛静,周密,等.关节镜微创手术治疗膝骨性关节病伴Baker’s囊肿的价值[J].第三军医大学学报,2008,30(15):1408.  LIU Yu-jie,XUE Jing,ZHOU Mi,et al.Value of arthroscopic surgery for knee osteoarthritis with Baker’s cyst[J].J Third Mil Med Univ,2008,30(15):1408. [5]段小军,杨柳,文亚名,等.MRI诊断半月板损伤类型的对比研究[J].第三军医大学学报,2008,30(15):1414.  DUAN Xiao-jun,YANG Liu,WEN Ya-ming,et al.MR imaging features of knee meniscus injury of different types[J].J Third Mil Med Univ,2008,30(15):1414. [6]谢峰,杨柳,郭林,等.关节镜下应用同种异体髌腱联合重建前后交叉韧带的临床随访研究[J].第三军医大学学报,2007,29(07):626.  XIE Feng,YANG Liu,GUO Lin,et al.A follow-up study of arthroscopically assisted combined reconstruction of anterior and posterior cruciate ligaments with allogeneic patellar tendon[J].J Third Mil Med Univ,2007,29(15):626. [7]何锐,杨柳,王晓宇,等.膝关节髌内侧滑膜皱襞直接关节造影磁共振表现与关节镜分型的临床对比研究[J].第三军医大学学报,2008,30(09):864.  HE Rui,YANG Liu,WANG Xiao-yu,et al.Direct MRA arthrography and arthroscopic findings of mediopatellar synovial plica of knee: a comparative clinical study[J].J Third Mil Med Univ,2008,30(15):864. [8]陈飚,赵春和.旋转铰链型人工膝关节置换治疗膝关节周围骨巨细胞瘤31例临床分析[J].第三军医大学学报,2010,32(14):1560.  Chen Biao,Zhao Chunhe.Application of rotatory hinge prosthetic knee replacement in treatment of giant cell tumors around knee joint: report of 31 cases[J].J Third Mil Med Univ,2010,32(15):1560. [9]郭珊成,张峡,郝勇.兔异体骨-前交叉韧带-骨移植重建前交叉韧带术后早期组织学与生物力学观察[J].第三军医大学学报,2011,33(04):418.  Guo Shancheng,Zhang Xia,Hao Yong.Reconstruction of anterior cruciate ligament with bone-anterior cruciate ligament-bone allograft in rabbits: a prophase study with histology and biomechanics[J].J Third Mil Med Univ,2011,33(15):418. [10]胡勇,程松苗,唐杰.应用改良的关节镜下带垫片的空心螺钉内固定技术治疗儿童[J].第三军医大学学报,2008,30(15):1424.  HU Yong,CHENG Song-miao,TANG Jie.Modified arthroscopic internal fixation of avulsion fracture of the anterior cruciate ligament from the tibial insertion site with cannulated screw and washer[J].J Third Mil Med Univ,2008,30(15):1424.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133