摘要
目的比较分析膝关节镜下自体髌韧带与腘绳肌腱移植重建前交叉韧带(ACL)的疗效. 方法回顾分析49例膝关节镜下自体髌韧带移植重建ACL及54例自体腘绳肌腱移植重建ACL的情况,随访24～48个月,平均31.6个月.采用Lysholm膝关节评分、国际膝关节文献编制委员会分级评估标准和KT-1000关节测量仪测定稳定性评价疗效. 结果两组间患者满意度、关节稳定性及功能差异均无统计学意义.髌韧带重建组膝痛发生率较腘绳肌腱组高(37%比11%). 结论关节镜下髌韧带与腘绳肌腱移植重建ACL的疗效相同.ACL重建中等长重建、牢固固定及早期康复锻炼对疗效更有决定作用.
Objective To evaluate arthroscopic reconstruction of a torn anterior cruciate ligament with either a central-third bone-patellar tendon-bone autograft or a two-strand semitendinosus-gracilis autograft and compare the results of clinical testing, satisfaction and functional status. Methods A retrospective study was done on 49 cases undergoing reconstruction with an ipsilateral central-third bone-patellar tendon-bone autograft and 54 treated with an ipsilateral two-strand semitendinosus-gracilis autograft. Patients were followed up for an average of 31.6 months (24-48 months). At the time of final follow-up, patients in each group were evaluated by Lysholm knee score, International Knee Documentation Committee (IKDC) rating scale and KT-1000 arthrometer for ACL ligament stability. Results No statistical difference was found between the groups in regard of the Lysholm knee score, overall IKDC score or KT-1000 arthrometrical measurements that stand for patient satisfaction, knee function and objective stability, respectively. The patellar tendon procedure group had a significantly higher knee pain rate than the hamstring group (37% versus 11%). Conclusions The bone-patellar tendon-bone autograft and the two-strand semitendinosus-gracilis autograft can attain comparable results for anterior cruciate ligament reconstruction in regard to patient satisfaction, knee stability and knee function in the medium-term follow-up. However, reconstruction of anatomic attachment sites, firm initial fixation and a structured postoperative rehabilitation program may have more influence on clinical outcomes and knee stability.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2005年第2期84-86,共3页
Chinese Journal of Trauma
关键词
关节镜
髌韧带
腘绳肌腱重建
前交叉韧带
疗效比较
Anterior Cruciate
Patellar Ligament
Arthroscopy
Transplantation, autologous
