摘要
目的分析关节镜下前交叉韧带保留残端重建术治疗前交叉韧带损伤患者的短期随访情况。方法选取2015年3月至2017年1月我院收治的80例前交叉韧带损伤患者,应用简单随机化分组方法将符合标准的患者按照1︰1分配,随机数序号为1~40号者为观察组,41~80号者为对照组。对照组(40例)实施传统标准前交叉韧带重建术,其中男27例,女13例;年龄20~56岁,平均(37.73±8.79)岁。观察组(40例)实施关节镜下前交叉韧带保留残端重建术,其中男24例,女16例;年龄21~55岁,平均(38.11±8.46)岁。比较两组患者Lysholm膝关节评分、国际膝关节文献委员会(international knee documentation committee,IKDC)评分、患侧膝关节被动角度再生试验结果、被动活动觉察阀值、二次关节镜探查率及所探查患者滑膜覆盖情况。结果观察组术后3个月、术后6个月Lysholm评分、IKDC评分高于对照组(P<0.05);观察组术后3个月、术后6个月患侧膝关节被动角度再生试验结果低于对照组(P<0.05);观察组术后3个月、术后6个月患侧膝关节被动活动觉察阀值低于对照组(P<0.05);观察组二次关节镜探查率20.00%与对照组25.00%相比差异无统计学意义(P>0.05);两组所探查患者滑膜覆盖分布情况比较差异无统计学意义(P>0.05)。结论关节镜下前交叉韧带保留残端重建术治疗前交叉韧带损伤,可促进腱骨愈合,且残余肌腱套袖样包裹移植肌腱,能增加膝关节稳定性,在术后早期改善患者膝关节功能与本体感觉,具有一定应用价值。
Objective To analyze the short-term follow-up of patients with anterior cruciate ligament injury under arthroscopic anterior cruciate ligament stump preservation reconstruction.Methods Eighty patients with anterior cruciate ligament injury treated in our hospital from March 2015 to January 2017 were selected.A simple randomized grouping method was used to assign eligible patients according to the ratio of 1︰1.Those with random numbers ranging from 1 to 40 were the observation group,and those with 41 to 80 were the control group.The control group(40 cases)underwent traditional standard anterior cruciate ligament reconstruction,including 27 males and 13 females;aged 20 to 56 years,with an average(37.73±8.79)years of age.The observation group(40 cases)underwent arthroscopic anterior cruciate ligament retention stump reconstruction,including 24 males and 16 females;aged 21 to 55 years,with an average(38.11±8.46)years of age.The Lysholm knee joint score,the international knee documentation committee(IKDC)score,the passive knee regeneration test results of the affected side,the passive activity detection threshold,The rate of secondary arthroscopy and the synovial coverage of the patients examined.Results The Lysholm score and IKDC score of the observation group at 3 months and 6 months after operation were higher than those of the control group(P<0.05).The passive angle regeneration test of the affected knee joint at 3 months and 6 months after the observation group was performed.The results were lower than the control group(P<0.05);The observation threshold of passive motion of the affected knee joint in the observation group at 3 months and 6 months after operation was lower than that in the control group(P<0.05);There was no significant difference in the rate of secondary arthroscopy in the observation group at 20.00%compared with 25.00%in the control group(P>0.05);There was no significant difference in the distribution of synovial coverage between the two groups of patients(P>0.05).Conclusion Arthroscopic ante
作者
李磊
吴昊
Li Lei;Wu Hao(Joint Center,Enshi Clinical College of Wuhan University,Enshi Central Hospital,Wuhan 445000,China)
出处
《实用骨科杂志》
2019年第12期1067-1072,共6页
Journal of Practical Orthopaedics
