摘要
背景:自体肌腱移植重建膝关节前后交叉韧带已广泛应用,但是供区容易出现并发症,同种异体肌腱移植越来越多应用于重建膝关节前后交叉韧带,是一种重要的替代材料。目的:比较关节镜下自体肌腱及同种异体肌腱移植重建膝关节前后交叉韧带的临床疗效差异。方法:40例前后交叉韧带损伤患者分为2组:自体肌腱组为自体半腱肌及股薄肌重建膝关节前后交叉韧带,异体肌腱组为应用由山西骨组织库提供的同种异体肌腱重建膝关节前后交叉韧带。结果与结论:全部病例均获得6个月以上随访,最长随访时间36个月。重建前后两组大腿周径患健侧差值、Lachman试验、中立位前抽屉试验(ADT)和国际膝关节评分委员会(IKDC)、Lysholm及Tegner评分差异均有显著性意义(P<0.01),两组间术后各项指标差异均无显著性意义(P>0.05)。结果表明,自体肌腱与单纯深低温冷冻同种异体肌腱移植在重建膝关节前后交叉韧带疗效无明显差异。
BACKGROUND：Using autologous tendon graft to reconstruct the knee cruciate ligament has been widely applied,but the technique has shortages such as donor site prone to complications,relatively longer operation time and greater trauma.So allogeneic tendon grafts have been applied as an important alternative materials in reconstructing knee cruciate ligament more and more frequently.OBJECTIVE：To compare the clinical efficacy difference between using autologous tendon and allograft tendon to reconstruct knee cruciate ligament under arthroscopy.METHODS：We had divided 40 cases of cruciate ligament injury into two groups：Group autologous tendon of 21 cases in which autogenous semitendinosus and gracilis muscle was used to reconstruct knee anterior and posterior cruciate ligament,while Group allograft tendon of 19 cases receiving allograft tendon provided by the Shanxi Province Bone Allograft Tendon Tissue Bank.RESULTS AND CONCLUSION：All the patients were followed up for 6 to 36 months.There was statistical significance in contralateral thigh circumference difference,Lachman test,anterior drawer test in neutral position and the International Knee Documentation Committee scoring,Lysholm and Tegner scores between the two groups before and after surgery（P 0.01）.All the indexes showed no significant difference in the same group after surgery（P 0.05）.There was no significant difference in clinical efficacy between autologous tendon and allograft tendon with a simple deep-frozen tendon in anterior and posterior cruciate ligament reconstruction.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2011年第25期4726-4730,共5页
Journal of Clinical Rehabilitative Tissue Engineering Research
基金
海南省自然科学基金项目(2011-5-12)~~
