摘要
目的探讨同种异体骨-腱-骨重建膝关节前后交叉韧带的疗效。方法采用同种异体骨-腱-骨重建膝关节前后交叉韧带患者22例，男21例，女1例，年龄22～53岁，平均36.7岁，左膝13例，右膝9例。对患者进行主观评估（手术前后Lysholm评分）和客观评估（Lachman试验、轴移试验）。结果随访5～42个月（平均23.3个月），1例失访。术前Lysholm评分为（19.6±3.6）分（15～30分），术后随访21例，最终随访评分为（83.9±16.2）分（41～99分），与术前比较差异有统计学意义（t＝20.440，P＝0.002）。除1例患者移植物松弛外，其他患者Lachman试验、轴移试验均呈阴性，或较术前明显好转。本组所有病例术后均未发现有感染和疾病传播。结论临床应用同种异体骨-腱-骨重建膝交叉韧带安全有效，避免了自体材料造成的再损伤及相应并发症。
Objective To investigate the efficacy of allogeneic bone-tendon-bone for reconstruction of anterior and posterior cruciate ligaments of knee.MethodsTwenty-two cases were subjected to the reconstruction of anterior and posterior cruciate ligaments of knee using allogeneic bone-tendon-bone, including 21 males, and 1 female with age of 22-53 years old （mean 36.7 years old）. The left knee was affected in 13 cases, and the right knee in 9 cases. The patients were evaluated subjectively （Lysholm score before and after operation） and objectively （using Lachman test and axial shift test）.ResultsTwenty-one patients were followed up for 5-42 months （mean 23.3 months）, and one patients lost the follow-up. Before operation, Lysholm scores were 19.6±3.6 （15-30）, and those at the last follow-up were 83.9±16.2 （41-99）, which were significantly different from those before operation （t=20.440, P=0.002）. Except one case of graft loosing, the rest cases had negative or improved Lachman test and axial shift test. No complications occurred in all patients.ConclusionThe clinical use of allogeneic bone-tendon-bone for reconstruction of cruciate ligaments of knee can avoid the re-injury caused by autologous materials and corresponding complications.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2018年第1期156-158,共3页
Chinese Journal of Experimental Surgery
关键词
同种异体
骨-腱-骨
前交叉韧带
后交叉韧带
重建
Allogeneic
Bone-tendon-bone
Anterior cruciate ligament
Posterior cruciate ligament
Reconstruction
