摘要
[目的]探讨缝线桥锚钉技术治疗膝关节内侧副韧带损伤的临床疗效。[方法]2014年1月~2015年4月本科收治的膝关节内侧副韧带上止点损伤患者57例(57膝),其中男41例,女16例,年龄19~52岁(平均37.18岁),均为III度损伤,术中采用小切口、双排锚钉缝线桥技术对损伤的内侧副韧带进行修复,术后进行规范的功能锻炼并定期随访。通过比较术前术后患者的应力位X线片,膝关节Lysholm评分、IKDC评分评估临床疗效。[结果]术后共52例患者得到随访,随访时间12~26个月(平均20.24个月),至末次随访时,患者膝关节功能恢复良好,外翻稳定性正常,Lysholm评分由术前的(67.62±2.31)分提高到术后的(91.70±1.94)分(P<0.001),IKDC评分由术前的(42.48±7.45)分提高到术后的(87.27±2.16)分(P<0.001)。[结论]采用缝线桥锚钉技术修复膝关节内侧副韧带上止点损伤,固定牢靠,功能恢复确切。
[Objective] To investigate the clinical outcome of anchor suture bridge technique for the treatment of knee me- dial collateral ligament injury. [Methods] A retrospective analysis was done on 57 patients （57 knees） with medial collateral lig- ament （MCL） tear treated in our hospital from January 2014 to April 2015, including 41 males, 16 females, aged from 19 to 52 years with a mean of 37.2 years. All the patients with Grade III degree MCL rupture were surgical treated with anchor suture bridge technique through a small incision followed by standardized functional exercise and regular follow-up. Lysholm score and IKDC score of the patients before and after surgery were compared. [Results] Of them, 52 patients were followed up for 12 to 26 months with an average of 20.2 months. At the latest follow-up, the 52 patients got satisfactory recovery of knee function with normal of knee stability. Lysholm score was significantly increased from （67.62±2.31） preoperatively to （91.70± 1.94） at the latest follow up （P〈0.001）, additionally IKDC score statistically increased from （42.48±7.45） to （87.27±2.16） （P〈0.001）. [Con-clusion] The anchor suture bridge technique does effectively repair medial collateral ligament injury with reliable clinical consequences.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2017年第24期2278-2281,共4页
Orthopedic Journal of China
关键词
锚钉
缝线桥
膝关节
内侧副韧带
小切口
anchor, suture bridge, knee, medialcollateral ligament, small incision
