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关节镜下自体?绳肌腱股骨双束双隧道重建后交叉韧带的疗效观察

, PP. 617-618

Keywords: 后交叉韧带,关节镜,?绳肌腱,

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Abstract:

目的关节镜下观察自体?绳肌腱股骨双束双隧道重建后交叉韧带的近期疗效。方法选取2005年9月至2006年9月我科收治的后交叉韧带(posteriorcruciateligamentPCL)3度损伤的住院患者共18例,其中男性14例,女性4例,平均年龄32.6岁。应用自体?绳肌腱股骨双束双隧道胫骨单隧道技术重建PCL。术前屈膝活动度(120.5±3.8)°。患者随访18~30个月,平均25个月。结果18例患者后抽屉试验、Lysholm评分及Tenger评分、KT-1000测量,术前、术后比较有显著性差异(P<0.05)。后抽屉试验术前均为3度,术后为(1.2±0.4)度。术前Lysholm评分(50.7±7.1)分,术后为(93.1±2.9)分。术前Tegner评分(1.2±0.7)分,术后为(6.1±0.7)分。术前胫骨后移(11.8±1.6)mm,术后为(2.6±1.2)mm。KT-1000测量术后健患侧对比平均(2.3±1.3)mm,其中<3mm者14例,>5mm2例。术后屈膝活动度(117.2±2.8)°,与术前比较无差异(P>0.05)。结论应用自体?绳肌腱股骨双束双隧道重建后交叉韧带,符合PCL的解剖生理结构,可较好的恢复关节功能。近期效果好,远期效果尚需进一步观察。

References

[1]  邵德成,陈百成,高石军,等. 关节镜下自体?绳肌腱股骨双束双隧道重建后交叉韧带的疗效观察[J]. 第三军医大学学报,2010,32(6):617-618.
[2]  王春莉,梅虎,谢静,等.共培养下后交叉韧带成纤维细胞中MMPs的基因表达[J].第三军医大学学报,2012,34(16):1600.  Wang Chunli,Mei Hu,Xie Jing,et al.Matrix metalloproteinase expression in posterior cruciate ligament fibroblasts co-cultured with synovial cells[J].J Third Mil Med Univ,2012,34(06):1600. [2]赵骏,陈伟,周代全,等.SWI序列诊断膝关节半月板撕裂的可行性研究[J].第三军医大学学报,2012,34(19):2002.  Zhao Jun,Chen Wei,Zhou Daiquan,et al.Diagnosis of meniscal tear of knee joint by SWI sequence: a feasibility study[J].J Third Mil Med Univ,2012,34(06):2002. [3]彭旭,段小军,杨柳.关节镜下切除症状性距后三角骨的近期临床疗效分析[J].第三军医大学学报,2012,34(22):2326.  Peng Xu,Duan Xiaojun,Yang Liu.Short-term clinical efficacy of arthroscopy for symptomatic os trigonum resection[J].J Third Mil Med Univ,2012,34(06):2326. [4]李忠,杨柳,戴刚,等.关节镜下半月板部分切除制备骨关节炎动物模型[J].第三军医大学学报,2007,29(10):919.  LI Zhong,YANG Liu,DAI Gang,et al.Establishment of animal models of bilateral knee joint osteoarthritis by arthroscopy[J].J Third Mil Med Univ,2007,29(06):919. [5]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(06):1408. [6]陈加荣,杨柳,戴刚,等.关节镜下治疗胫骨髁间前棘撕脱骨折30例[J].第三军医大学学报,2009,31(07):626.  CHEN Jia-rong,YANG Liu,DAI Gang,et al.Arthroscopic treatment for avulsion fracture of tibial intercondylar anterior eminence: report of 30 cases[J].J Third Mil Med Univ,2009,31(06):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(06):864. [8]覃健,侯之启,郑民庆,等.关节镜手术治疗31例运动员髌下脂肪垫撞击综合征[J].第三军医大学学报,2008,30(15):1422.  QIN Jian,HOU Zhi-qi,ZHENG Min-qing,et al.Arthroscopic surgery for Hoffa’s disease in 31 athletes[J].J Third Mil Med Univ,2008,30(06):1422. [9]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(06):1424. [10]李棋,曹畅,李智尧,等.6例膝关节内滑膜血管瘤的关节镜下诊断及治疗[J].第三军医大学学报,2008,30(15):1419.  LI Qi,CAO Chang,LI Zhi-yao,et al.Arthroscope-assisted diagnosis and treatment of intraarticular synovial hemangioma of knee[J].J Third Mil Med Univ,2008,30(06):1419. [11]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(06):626. [12]杨荣,董新华,项敏,等.关节镜加后入路治疗后交叉韧带止点撕脱骨折的疗效观察[J].第三军医大学学报,2006,28(19):1954.

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