摘要
目的:评价关节镜下应用同种异体骨-腱-骨重建前交叉韧带的临床疗效。方法:2002年2月～2005年2月,我院住院患者经关节镜检查证实为前交叉韧带断裂者11例,均于关节镜下行同种异体骨-腱-骨移植重建术。结果:11例患者术后均未发生严重并发症,所有患者术后随访12～24个月,Lysholm膝关节功能评分同术前相比较,差别有统计学意义(P<0.05)。结论:关节镜下同种异体骨-腱-骨移植重建前交叉韧带具有手术损伤小、术后并发症少、膝关节功能恢复良好的优点。
Objective： To retrospectively study the effectiveness and experience of reconstruction of anterior cruciate ligament（ACL） with allogeneic bone-patellar tendon-bone （B-PT-B） under knee arthroscope in 11 cases. Methods： Ruptured ACL in 11 cases,were reconstructed under arthroscope with allogeneic B-PT-B, which was provided by Shanxl bone bank. As the same time,the associated injuries were managed. The pre- operative and postoperative changes of biochemical and immunological indicators as well as systemic reac- tion and regional reaction Of knee joint were observed. Periodical examination was clone on rehabilitation ex- ercise and knee joint function. Knee joint function was determined by Lysholm knee function scales. Re- suits： All of postoperative patients were not found by infection or immunological,and,all of cases were fol- lowed up for 12-18 months,with normal function of knee joint after operation. The average preoperative and postoperative Lysholm knee functional scales were to compared each other,with statistically significant difference （t = 24. 211 ,P 〈0.01）. Conclusions： The allogeneic B-PT-B is ideal alternative material for re- construction of ACL, because it can bring about satisfactory clinical effectiveness in reconstruction of ACL. Meanwhile,the central position in the femoral insertion is the optimal location of ACL isometric recon- struction was proved in this study.
出处
《新疆医科大学学报》
CAS
2007年第11期1282-1283,共2页
Journal of Xinjiang Medical University
关键词
关节镜
前交叉韧带
重建
arthroscope
anterior cruciate ligament
reconstruction
