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-  2017 

可吸收锚钉修复前交叉韧带部分损伤的早期疗效观察

DOI: doi:10.7507/1002-1892.201610026

Keywords: 前交叉韧带部分损伤, 可吸收锚钉, 关节镜, 韧带修复

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Abstract:

目的 探讨关节镜下可吸收锚钉修复前交叉韧带部分损伤的早期疗效。 方法 2013 年 12 月—2015 年 2 月,收治 22 例前交叉韧带部分损伤患者。其中男 12 例,女 10 例;年龄 20~44 岁,平均 27.5 岁。左膝 8 例、右膝 14 例;受伤至入院时间 2~13 d,平均 9.8 d。合并半月板损伤 16 例。关节镜下采用可吸收锚钉修复损伤的前交叉韧带。采用 Tegner 评分、Lysholm 评分及国际膝关节文献委员会(IKDC)评分评价患者膝关节功能,同时采用疼痛视觉模拟评分(VAS)评估患者主观满意度;采用 KT-1000 测量仪评估膝关节松弛度,并行 MRI 检查评价韧带恢复情况。 结果 术后患者切口均 Ⅰ 期愈合,无手术相关并发症。患者均获随访 12 个月。随访期间患者均未出现前交叉韧带二次损伤。术后 12 个月 Tegner 评分、Lysholm 评分、IKDC 评分与受伤前比较,差异均无统计学意义(P>0.05);患者主观满意度 VAS 评分为 9~10 分,中位数为 9.5 分;双侧胫骨前移差值为 0~6 mm,中位数为 0.5 mm。MRI 结果提示 22 例患者连续性、纤维化信号强度分级均为 1 级。 结论 关节镜下可吸收锚钉修复前交叉韧带部分损伤可行,术后膝关节功能基本恢复正常,患者满意度高,早期疗效较好

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