自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉重建前交叉韧带
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摘要
目的探讨自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉固定重建前交叉韧带(ACL)的疗效。方法关节镜下自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉治疗58例ACL损伤患者。观察术后患膝功能恢复及并发症发生情况,采用Lysholm、Tegner评分评价患者膝关节功能。结果患者均获得随访,时间24～36(26. 92±2. 89)个月。术后2年,Lysholm评分由术前45. 60分±5. 50分提高至92. 37分±5. 95分(P <0. 01); Tegner评分由术前2. 10分±1. 00分提高至6. 61分±0. 79分(P <0. 01);膝关节活动度由术前93. 26°±10. 59°提高至135. 20°±9. 18°(P <0. 01)。未出现感染、内固定物松动或断裂、重建韧带断裂等并发症。结论关节镜下自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉固定重建ACL,术后2年临床效果良好。
Objective To investigate the clinical efficacy of anterior cruciate ligament( ACL) reconstruction with autologous hamstring tendon graft fixed with Tightrope and Bio-Intrafix. Methods The 58 patients with ACL injury were treated with arthroscopic reconstruction with autologous hamstring tendon graft and fixed with adjustable Tightrope and Bio-Intrafix. Postoperative recovery of knee function and complications were observed. Lysholm and Tegner scores were used to evaluate the knee function. Results All the 58 patients were followed up for 24 ～ 36( 26. 92 ±2. 89) months. Two years later,Lysholm score was increased from preoperative( 45. 60 ± 5. 50) points to( 92. 37 ±5. 95) points( P < 0. 01). Tegner score was increased from preoperative( 2. 10 ± 1. 00) points to( 6. 61 ± 0. 79)points( P < 0. 01). Knee joint activity was improved from( 93. 26° ± 10. 59°) preoperatively to( 135. 20° ± 9. 18°)( P < 0. 01). No infection,loosening or breaking of internal fixation,graft rerupture and other complications existed.Conclusions Arthroscopic ACL reconstruction using autologous hamstring tendon graft with fixation of Tightrope and Bio-Intrafix,the efficacy is better at two years after surgery.
Objective To investigate the clinical efficacy of anterior cruciate ligament( ACL) reconstruction with autologous hamstring tendon graft fixed with Tightrope and Bio-Intrafix. Methods The 58 patients with ACL injury were treated with arthroscopic reconstruction with autologous hamstring tendon graft and fixed with adjustable Tightrope and Bio-Intrafix. Postoperative recovery of knee function and complications were observed. Lysholm and Tegner scores were used to evaluate the knee function. Results All the 58 patients were followed up for 24 ～ 36( 26. 92 ±2. 89) months. Two years later,Lysholm score was increased from preoperative( 45. 60 ± 5. 50) points to( 92. 37 ±5. 95) points( P < 0. 01). Tegner score was increased from preoperative( 2. 10 ± 1. 00) points to( 6. 61 ± 0. 79)points( P < 0. 01). Knee joint activity was improved from( 93. 26° ± 10. 59°) preoperatively to( 135. 20° ± 9. 18°)( P < 0. 01). No infection,loosening or breaking of internal fixation,graft rerupture and other complications existed.Conclusions Arthroscopic ACL reconstruction using autologous hamstring tendon graft with fixation of Tightrope and Bio-Intrafix,the efficacy is better at two years after surgery.
引文
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[3]季振涛,王少山.关节镜下LARS人工韧带及4股半腱肌肌腱重建前交叉韧带[J].临床骨科杂志,2011,14(3):268-270.
[4]鲁建清,黎冬,沈源生.关节镜下应用LARS人工韧带材料修复重建运动损伤膝关节交叉韧带[J].中国组织工程研究与临床康复,2010,14(29):5435-5438.
[5]刘义辉,崔国庆,刘雯爽.自体腘绳肌腱重建前后交叉韧带术后肌腱再生的临床研究[J].中国骨与关节损伤杂志,2017,32(2):206-207.
[2]熊为,刘家国,罗斌,等.自体与同种异体肌腱移植单束重建后交叉韧带疗效的Meta分析[J].中国循证医学杂志,2016,16(5):579-584.
[3]季振涛,王少山.关节镜下LARS人工韧带及4股半腱肌肌腱重建前交叉韧带[J].临床骨科杂志,2011,14(3):268-270.
[4]鲁建清,黎冬,沈源生.关节镜下应用LARS人工韧带材料修复重建运动损伤膝关节交叉韧带[J].中国组织工程研究与临床康复,2010,14(29):5435-5438.
[5]刘义辉,崔国庆,刘雯爽.自体腘绳肌腱重建前后交叉韧带术后肌腱再生的临床研究[J].中国骨与关节损伤杂志,2017,32(2):206-207.