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前交叉韧带单束重建术后韧带倾斜角改变与膝关节功能临床对比研究 被引量:4

A clinical comparative study on the relationship between the changes of the ligament inclination angle and the knee joint function after a single-bundle ACL reconstruction
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摘要 目的以MRI影像学资料为基础,将前交叉韧带倾斜角的改变和膝关节功能的进行联系,探讨前交叉韧带单束重建术后膝关节功能与韧带倾斜角改变间的关系。方法收集2020年7月-2021年5月于吉林大学中日联谊医院行下肢MRI扫描的正常成人和前交叉韧带单束重建术患者MRI图像。测量前交叉韧带倾斜角(冠状角和矢状角),随访患者术后6个月Lysholm评分和IKDC评分。结果正常成人与前交叉韧带重建术后患者间前交叉韧带倾斜角无统计学差异,前交叉韧带重建术后6个月患者Lysholm评分和IKDC评分分别为(81.63±28.92)分和(71.84±31.63)分,前交叉韧带重建术后倾斜角变化>15°组与变化<10°组和变化10°~15°组相比,膝关节功能评分存在显著性差异。结论前交叉韧带单束重建术前后患者倾斜角变化与术后膝关节功能恢复密切相关,在重建术中应尽量保证韧带倾斜角改变<15°。 Objective Based on the MRI imaging data,to correlate the changes of the anterior cruciate ligament inclination angle with the knee joint function,and to explore their relationship after a single-bundle ACL reconstruction.Methods The lower extremity MRI images of normal adults and patients undergoing a single-bundle ACL reconstruction in the China-Japan Union Hospital of Jilin University from July 2020 to May 2021 were collected.The ACL inclination angles(coronal and sagittal angles)were measured,and their Lysholm scores and IKDC scores were followed up and counted six months later after a surgery.Results There was no significant difference in the ACL inclination angle between normal adults and patients with an ACL reconstruction.The Lysholm score and IKDC score of patients 6 months after the ACL reconstruction were(81.63±28.92)and(71.84±31.63),respectively.There was a significant difference in the knee joint function score between the group with a change of more than 15°,the group with a change of less than 10°and the group with a change ranging from 10°to 15°,in the inclination angle after the ACL reconstruction.Conclusion The change of the inclination angle of patients before and after a single-bundle ACL reconstruction is closely related to the postoperative recovery of the knee joint function,and the change of the ligament inclination angle had better be less than 15°in a reconstruction surgery.
作者 董宏飞 刘海岩 许卓 尹立全 王培基 范迪 Dong Hongfei;Liu Haiyan;Xu Zhuo;Yin Liquan;Wang peiji;Fan di(Department of Human Anatomy,School of Basic Medicine,Jilin University,Changchun 130021,China;Department of Rehabilitation Medicine,Nanhu Hospital,China-Japan Union Hospital,Jilin University,Changchun 130012,China)
出处 《长春中医药大学学报》 2022年第5期552-555,共4页 Journal of Changchun University of Chinese Medicine
基金 吉林省卫生科研人才专项项目(2021SCZ33)。
关键词 前交叉韧带重建术 前交叉韧带倾斜角 膝关节功能评分 anterior cruciate ligament reconstruction anterior cruciate ligament inclination angle knee function score
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