| 李文凯,吴华,韦盛,等.关节镜下解剖位与过顶位前交叉韧带单束重建的近期疗效对比.骨科,2015,6(3): 113-116. |
| 关节镜下解剖位与过顶位前交叉韧带单束重建的近期疗效对比 |
| Anatomic versus conventional over-the-top single-bundle in arthroscopic reconstruction of anterior cruciate ligament |
| 投稿时间：2014-09-18 |
| DOI：10.3969/j.issn.1674-8573.2015.03.001 |
| 中文关键词: 关节镜检查 前交叉韧带重建 膝关节 修复外科手术 |
| 英文关键词: Arthroscopy Anterior cruciate ligament reconstruction Knee joint Reconstructive surgical procedures |
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| 中文摘要: |
| 目的 比较关节镜下前交叉韧带（anterior cruciate ligament, ACL）解剖位单束（anatomic single-bundle, ASB）与传统过顶位单束(conventional over-the-top single-bundle, CSB)重建的近期临床疗效。方法 回顾分析2010年10月至2012年10月在我院关节外科接受ACL重建手术的病例及随访资料，按手术方式不同分为ASB组（n=31）和CSB组（n=32），移植韧带来源均为自体腘绳肌腱。比较两组患者在术后3~6个月的膝关节功能，评估方法采用膝关节主动活动度、Lachman试验、轴移试验、Lysholm评分及国际膝关节评分委员会（International Knee Documentation Committee, IKDC）评分。结果 术后膝关节主动活动度：CSB组3例术后膝关节伸直受限，平均5°～10°，ASB组无伸直受限，两组屈曲均正常；Lachman试验：ASB组全部阴性，CSB组6例阳性，差异有统计学意义（P＜0.05）；轴移试验：ASB组阴性率为67.74%，CSB组阴性率为40.63%，差异有统计学意义（P＜0.05）；Lysholm评分及IKDC评分差异均无统计学意义（均P＞0.05）。结论 ACL的ASB重建术后早期能更好地恢复膝关节的前后及旋转稳定性，其临床意义及远期临床效果有待进一步研究。 |
| 英文摘要: |
| Objective To compare the recent clinical results of the arthroscopic single-bundle ACL reconstruction with conventional over-the-top and anatomic insertions. Methods The curative results and follow-up data were retrospective analyzed in cases with ACL injure which were treated with ACL reconstruction in our hospital from Oct. 2010 to Oct. 2012. All cases were performed single-bundle reconstruction with autogeneic hamstring tendons and divided into 2 groups(CSB group and ASB group) according to surgical opinions. The knee functions after 3 to 6 months of operation were evaluated by active joint flexion degree, pivot shift test, Lachman test, IKDC and Lysholm scores. Results The active joint flexion degree: 3 cases presented 5°-10° extension limitation in CSB with no flexion limitation; no flexion limitation and extension limitation in ASB cases. Lachman test: all cases presented negative Lachman test in ASB while 6 positive in CSB. Negative pivot shift was 67.74% in ASB vs. 40.63% in CSB. There's no significance different between 2 groups on Lysholm and IKDC scores(all P＞0.05). Conclusion ASB reconstruction resulted in better anteroposterior and rotational stability than CSB reconstruction. However, further follow-up clinical study are needed. |
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