摘要
目的 探讨关节镜下自体腓骨长肌腱前1/2股全内重建前交叉韧带的近中期临床疗效.方法 回顾性分析2015年1月至2018年1月40例(40膝)前交叉韧带断裂行关节镜下自体腓骨长肌腱前1/2股全内重建术患者的临床资料,术后平均随访时间22个月(8~36个月).手术前后膝关节功能采用Lysholm评分、Larson评分、IKDC评分进行分析,采用Lachman试验、前抽屉试验、及KT-1000测量差值对手术前后膝关节前方稳定性进行分析.结果 Lysholm评分、Larson评分、IKDC评分、KT-1000测量差值,术后随访时与术前比较差异有统计学意义(P<0.05),Lachman试验、前抽屉试验术前40例全部阳性,术后阴性38例,阳性2例,患者膝关节功能术后明显提高.结论 自体腓骨长肌腱前1/2股全内重建前交叉韧带,近中期疗效确切.
Objective To evaluate the clinical effects of arthroscopic reconstruction of anterior cruciate ligament(ACL)with all-inside technique of half of peroneus longus tendon(PLT).Methods From January 2015 to January 2018,40 patients(40 knees)were operated on arthroscopic reconstruction of ACL with all-inside technique of PLT.All patients were followed up,the mean follow-up period was 22months(range from 8 months to 36 months).The Lysholm score,Larson score and IKDC score were used to evaluate the outcomes of arthrosopic reconstruction at the time of pre-operation and follow-up respectively.Knee stability was evaluated by Lachman test,drawer test and KT-1000 arthrometer.Results The Lysholm score,Larson score and IKDC score were significantly improved compared with pre-operation(P<0.05).Lachman test and drawer test were positive in 2 cases,but negative in 38 cases postoperatively.Conclusion The effect of the ACL reconstruction with all-inside technique of PLT is satisfactory.
出处
《浙江临床医学》
2019年第5期651-653,共3页
Zhejiang Clinical Medical Journal
基金
浙江省嘉兴市公益性研究计划(2018AD32177).
关键词
腓骨长肌腱
全内技术
前交叉韧带
重建
Peroneus longus tendon
All-inside technique
ACL
Reconstruction
