摘要
目的探讨膝关节镜下采用自体腘绳肌腱重建前交叉韧带的临床疗效。方法对2011年1月—2013年4月于我院诊治的32例膝关节前交叉韧带断裂患者进行膝关节镜下韧带重建。术后随访12-30个月,平均为22个月,观察患者膝关节功能状况。结果 32例患者Lysholm膝关节功能评分由术前的（45.68±7.60）分提高到重建后随访时的（（94.7±3.14）分,差异有统计学意义（P〈0.01）,且患者IKDC膝关节功能评分由术前异常（C级）18例、显著异常（D级）14例,改善为正常（（A级）24例,接近正常（B级）8例,差异有统计学意义（P〈0.05）。结论膝关节镜下采用自体腘绳肌腱重建前交叉韧带手术创伤小,生物力学性能好,且术后并发症少,有利于患者膝关节功能恢复,疗效显著。
Objective To investigate the clinical effect of arthroscopic autogenous hamstring tendon anterior cruciate ligament reconstruction. Methods 32 cases of cruciate ligament rupture in patients carried out arthroscopic ligament reconstruction prior to our hospital from January 2011 to April 2013. Patients were followed up from 6 to 25 months,with an average of 22 months. The condition of knee function was observed. Results 32 patients by the Lysholm knee score（ 45. 68 ± 7. 60） preoperatively to improve after reconstruction（ 94. 7 ± 3. 14） of follow-up,and the difference was statistically significant（ P〈0. 01）. Patients with IKDC knee score from preoperative joint function abnormalities（ C grade） was 18 cases,significant abnormality（ D grade） was 14 cases,improved to normal（（ A grade） was 24 cases,nearly normal（ grade B） was 8 cases,and the difference was statistically significant（ P〈0. 05）.Conclusion Autologous hamstring tendons under the arthroscopic anterior cruciate ligament reconstruction surgery has small trauma,biological mechanics performance is good,and less postoperative complications,is beneficial to patients with knee joint functional recovery,and curative effect is remarkable.
出处
《光明中医》
2016年第6期791-793,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
关节镜
前交叉韧带重建
康复训练
Arthroscopy
Anterior cruciate ligament reconstruction
Rehabilitation training
