摘要
目的评价关节镜下利用同种异体跟腱骨一期重建膝关节前后交叉韧带的疗效。方法2000年7月至2005年2月收治15例患膝前后交叉韧带断裂但对侧膝关节完好者，在关节镜下先对合并存在的半月板损伤进行修复，然后使用2条同种异体跟腱骨一期重建前后交叉韧带。亚急性期或慢性期（〉3周）重建12例，急性期（〈3周）重建3例。手术前后采用IKDC和Lysholm评分系统对患膝关节功能进行评估，随访结果与对侧健康膝关节进行比较。结果所有患者均获得36～40个月（平均38个月）随访。根据IKDC评分，术前所有患膝关节功能都严重异常，术后9例患膝功能改善为正常，5例接近正常，1例异常。Lysholm评分由术前平均（56±5）分改善为术后（90±4）分，差异有统计学意义（t=15．660，P〈0．05）。结论同种异体跟腱骨可用于关节镜下重建膝关节前后交叉韧带，疗效满意。
Objective To evaluate one-stage arthroscopic reconstruction of anterior cruciate ligament （ACL） and posterior erueiate ligament （PCL） using Achilles tendon-bone allografts. Methods From July 2000 to February 2005, we treated 15 patients （11 males and 4 females） whose ACL and PCL were ruptured at one knee but the contralateral knee was intact. Their associated meniscus injuries were treated arthroscopically according to established procedures prior to ligament reconstruction. Thirty Achilles tendon-bone allografts were used to reconstruct torn ACL and PCL in 15 knees at one stage. Reconstruction of both ligaments was performed at subacute or chronic phase （〉 3 to g weeks） in 12 cases, and al acute phase in 3 cases （ 〈 3 weeks） . All knees were graded pre- and postoperatively using the International Knee Documentation Committee （IKDC） and Lysholm scoring systems. At follow-up, functions were evaluated for all patients and compared with those of the contralateral healthy knee. Results All patients were followed up for a minimum of 3 years （mean, 38 months）. Preoperatively, the IKDC ratings showed all the injured knees were severely abnormal. At final postoperative follow-up, 9 knees received a normal rating, 5 a nearly normal one and 1 an abnormal one. The differences in Lysholm score were statistically significant （ t = 15. 660, P 〈 0.05） between pre- and postoperative analyses. The most noticeable postoperative complication was a short localized fever coupled with arthroedema in 1 case. Conclusions Achilles tendon-bone allograft offers an alternative for simultaneous arthroscopic reconstruction of ACL and PCL. However, problems inherent in al- lograft tissues entail further investigation to ensure future application.
出处
《中华创伤骨科杂志》
CAS
CSCD
2009年第12期1122-1125,共4页
Chinese Journal of Orthopaedic Trauma
关键词
前交叉韧带
后交叉韧带
损伤
关节镜
移植
同种
Anterior erueiate ligament
Posterior erueiate ligament
Injury
Arthroscopy
Transplantation, homologous
