期刊文献+

关节镜下前交叉韧带单双束重建临床疗效的对比 被引量:4

Prospective comparative study on clinical effects of arthroscopic single versus double bundle ACLs reconstructions
下载PDF
导出
摘要 目的对比关节镜下采用异体胫前肌腱单双束重建前交叉韧带的临床疗效。方法将43例前交叉韧带断裂的患者分为2组,分别行前交叉韧带解剖双束重建(双束重建组)和前内侧束解剖重建(单束重建组),单束重建组22例中,男16例,女6例,年龄(27.16±4.01)岁;运动损伤7例,交通损伤15例。双束重建组21例中,男15例,女6例,年龄(28.04±3.57)岁;运动损伤5例,交通伤16例。按照IKDC,Lysholm膝关节评分标准及Lachman试验,轴移试验及KT-1000评估疗效。结果随访12个月后单双束重建组最后均有20例获得完整随访结果,失访3例。单束重建组IKDC评分从术前(47.12±17.21)分提高到术后的(83.41±14.85)分,Lysholm评分从术前(47.20±6.30)分提高到(94.33±2.40)分;双束重建组IKDC评分从术前(42.12±21.65)分提高到(77.74±15.01)分,Lysholm评分从术前(48.10±6.50)分提高至(95.10±2.49)分,2组差异无统计学意义(P>0.05);2组患者中,单束重建组Lachman试验阳性3例,轴移试验阳性3例;双束重建组Lachman试验阳性2例,轴移试验阳性1例;KT-1000值,单束重建组(1.85±1.70)mm,双束重建组(1.74±1.60)mm,2组患者比较差异无统计学意义(P>0.05)。结论关节镜下采用异体胫前肌腱单双束重建前交叉韧带的临床疗效相同。 Objective To compare the clinical results of arthroscopic single and double bundle ACLs reconstructions. Methods 43 patients with anterior cruciate ligament tear were divided into two groups. In the first group, the anterior cruciate ligament were an- atomical reconstructed with double bundle allogeneic pretibial tendons, and in the second group the anterior crueiate ligaments were ante- rior medical anatomical reconstructed with single bundle allogeneic pretibial tendons. There were 22 patients( 16 males and 6 females)in single bundle group, with an average age of ( 27.16 ± 4.01 ) years ; Sport injury in 7 cases, 15 cases of traffic injuries ; 21 patients ( 15 males and 6 females)in double bundle group, with an average age of( 28.04 ± 3.57 ) years, sport injury in 5 case, 16 cases of traffic in- juries. Therapeutic effects between two groups were compared according to the IKDC, Lysholm scoring standards and Lachman test, knee pivot shift test, KT - 1 000. Results Twenty patients in single bundle group and twenty patients in double bundle group were followed - up too, and the mean duration was 12 months. The IKDC score of patients in single bundle group improved from preoperative (47.12 ±17.21 ) scores to postoperatively ( 83.41 ± 13.85 ) scores, Lysholm score increased from preoperative (44.20 ± 6.30) scores to postop- eratively (94.33 ±2.40) scores. The IKDC score of patients in double bundle group improved from preoperative (42.12 ± 21.65) scores to postoperatively (77.74 ± 15.01 ) scores, Lysholm score increased from preoperative (48.10 ± 6.50) scores to postoperatively (95.10± 2.49) scores. And there was no statistically significant difference between the two groups. The Laehman test was positive in 5 patients (2 patients in double -bundle group and 3 patients in single -bundle group) ;And pivot shift test was positive in 4 patients (3 patients in single -bundle group and 1 patient in double- bundle group) ;KT- 1000 of patients in single -bun
出处 《宁夏医学杂志》 CAS 2014年第1期24-27,共4页 Ningxia Medical Journal
基金 宁夏自然科学基金资助项目(NZ10121)
关键词 前交叉韧带 关节镜 重建外科手术 病例对照研究 Anterior cruciate ligament Arthroscopes Reconstruction surgical procedures Prospective comparative study
  • 相关文献

参考文献14

二级参考文献54

  • 1Tashman S,Kopf S,Fu FH.The Kinematic Basis of ACL Reconstruction.Oper Tech Sports Med,2008,16:116-118. 被引量:1
  • 2Lu W,Wand DP,Han Y,et al.The clinical comparing of arthroscopic ACL reconstruction by anatomical and over the top methods.Chin J Clin Anat,2009,27:283-287. 被引量:1
  • 3Papannagari R,Gill TJ,Defrate LE,et al.In vivo kinematics of the knee after anterior cruciate ligament reconstruction:a clinical and functional evaluation.Am J Sports Med,2006,34:2006-2012. 被引量:1
  • 4Mae T,Shino K,Nakata K,et al.Optimization of graft fixation at the time of anterior cruciate ligament reconstruction:part i:effect of initial tension.Am J Sports Med,2008,36:1087-1093. 被引量:1
  • 5Tashman S,Kolowich P,Collon D,et al.Dynamic function of the ACL-reconstructed knee during running.Clin Orthop Relat Res,2007 (454):66-73. 被引量:1
  • 6Carpenter RD,Majumdar S,Ma CB.Magnetic resonance imaging of 3-dimensional in vivo tibiofemoral kinematics in anterior cruciate ligament-reconstructed knees.Arthroscopy,2009,25:760-766. 被引量:1
  • 7Tashman S,Collon D,Anderson K,et al.Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction.Am J Sports Med,2004,32:975-983. 被引量:1
  • 8Fu FH,Karlsson J.A long journey to be anatomic.Knee Surg Sports Traumatol Arthrosc,2010,18:1151-1153. 被引量:1
  • 9Schreiber VM,van Eck CF,Fu FH.Anatomic Double-bundle ACL Reconstruction.Sports Med Arthrosc,2010,18:27-32. 被引量:1
  • 10van Eck CF,Lesniak BP,Schreiber VM,et al.Anatomic single-and double-bundle anterior cruciate ligament reconstruction flowchart.Arthroscopy,2010,26:258-268. 被引量:1

共引文献71

同被引文献21

引证文献4

二级引证文献8

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部