摘要
目的：探讨关节镜下自体腓骨长肌腱重建膝关节交叉韧带的手术方法及临床疗效。方法：2005年11月至2008年2月我院采用关节镜下自体腓骨长肌腱重建膝关节交叉韧带17例,其中前交叉韧带7例,后交叉韧带10例。据敖英芳临床判断标准及Lysholm评分评价膝关节疗效;Takakura踝关节评分系统评价踝关节术后功能。结果：全部病例得到随访3-26个月,平均13.7个月,抽屉试验和Lachman试验阳性者1例,可疑阳性者2例,余患者均为阴性;踝关节术后功能评分均在96分以上。根据敖英芳临床判断标准,本组优14例,良2例,中1例。Lysholm评分术后86.54,与术前41.26比较,差异有统计学意义（P〈0.01）。结论：关节镜下自体腓骨长肌腱重建膝关节交叉韧带简单,损伤小,效果满意。
Objective： To explore surgical techniques and clinical effects of arthroscopic reconstruction of cruciate ligament with autogeneic peroneus longus. Methods：Seventeen patients with cruciate ligament rupture underwent ar throscopic crucuate ligament with autogeneic peroneus longus, including seven ACL and ten PCL. Systematic rehabilitation was conducted post operativelly. Results：All cases were followup from 3 months to 26 months, with a mean pe riod of 13.7 moths. The drawer test and lachman test was positive in 1. Acording to the AoYingFang garding systm, the function was evaluatedas excellent in 14 cases,good in 2 cases and fair in 1. The average lyshole knee score was 41.26 preoperatively and 86.54 preoperatively, with signifioantdifferent （ P〈0.01 ）. Conclusion： Arthroscopic reconstruction of crueiate ligament with autogeneic peroneus longus is effective,because of limited invasion and less trauma.
出处
《华西医学》
CAS
2009年第9期2281-2282,共2页
West China Medical Journal
