摘要
背景:近年来,单束前交叉韧带重建技术的应用逐渐增加,且具有良好的临床结果,但是存在前方和旋转不稳。一些生物力学研究则表明双束前交叉韧带重建可增加膝关节稳定性。然而,目前尚缺乏关于2种技术临床结果的长期随访研究。目的:比较单束与双束前交叉韧带重建后10年患者膝关节功能和临床结果,评估两种技术之间有效性的差异。方法:回顾性搜集了47例自2007年1月至2009年9月在广州中医药大学第一附属医院骨伤中心行单束或双束前交叉韧带重建的患者。根据重建方式分为单束重建组和双束重建组,术前和术后评估包括体格检查(Lachman试验,轴移试验,前抽屉试验)、膝关节功能评分(Lysholm和Tegner评分)(和等速肌力测定(腘绳肌与股四头肌比率)。结果与结论:2组患者术后体格检查未发现阳性体征。术后10年Lysholm和Tegner评分较术前明显升高,但2组术后Lysholm和Tegner评分结果接近,且等速肌力测定结果接近。表明单束和双束前交叉韧带重建均能改善患者膝关节功能,且2种方法的临床效果接近。
BACKGROUND： In recent years, the application of single-bundle anterior cruciate ligament（ACL） reconstruction technique has been gradually increased and obtained good clinical results, but there exists anterior and rotational instability. Biomechanical study has shown that double-bundle ACL reconstruction could increase knee stability. However, there is no long-term follow-up study on the comparison of clinical outcomes of the two technologies. OBJECTIVE： To compare knee function and clinical outcomes at postoperative 10 years in patients undergoing single-bundle and double-bundle ACL reconstruction, and to assess the differences of efficacies between the two techniques. METHODS： The retrospective study included 47 patients receiving single-bundle and double-bundle ACL reconstruction in the Orthopedic Center of First Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2007 to September 2009. Patients were divided into single-bundle group and double-bundle group according to the reconstruction method. Preoperative and postoperative evaluation included physical examination（Lachman test, pivot shift test and anterior drawer test）, knee function scores（Lysholm and Tegner scores） and Isokinetic strength test（Hamstring/Quadriceps muscle strength ratio）. RESULTS AND CONCLUSION： No positive signs were found in the postoperative physical examination between both groups. Lysholm score and Tegner score after surgery were significantly higher at postoperative 10 years than that preoperatively in both groups. However, Lysholm and Tegner scores were similar, and isokinetic strength test results were identical between both groups. Both single-bundle and double-bundle anterior cruciate ligament reconstruction could improve knee function, and the clinical effects were similar between the two groups.
作者
曾会粮
冯文俊
李萍
陈锦伦
曾建春
李杰
邓鹏
吴克亮
叶鹏程
揭珂
曹厚然
曾意荣
Zeng Hui-liang;Feng Wen-jun;Li Ping;Chen Jin-lun;Zeng Jian-chun;Li Jie;Deng Peng;Wu Ke-liang;Ye Peng-cheng;Jie Ke;Cao Hou-ran;Zeng Yi-rong(The First Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510006,Guangdong Province,China;First Department of Joint Surgery,First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong Province,China;The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510006,Guangdong Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2018年第23期3692-3697,共6页
Chinese Journal of Tissue Engineering Research
