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