摘要
目的观察前交叉韧带损伤患者在膝关节前交叉韧带重建术中采用股骨椭圆隧道技术对移植物、膝关节功能的影响。方法选择2019年1月至2021年6月该院收治的80例前交叉韧带损伤患者为研究对象,均接受关节镜下膝关节前交叉韧带单束解剖重建术治疗。根据术中制备股骨隧道方法的不同分为观察组与对照组,每组40例。对照组采用圆隧道技术,观察组采用椭圆隧道技术。术后3、6、12个月定期随访,比较两组术后移植物情况、移植物成熟度、膝关节功能及并发症发生情况。结果术后12个月时,观察组移植物滑膜覆盖情况、移植物张力情况优于对照组,差异均有统计学意义(P<0.05)。术后3个月时,两组近、中、远端的移植物信号/噪声比(SNQ)比较,差异均无统计学意义(P>0.05)。术后6、12个月时,观察组近、中、远端SNQ均低于对照组,差异均有统计学意(P<0.05)。术后3个月时,两组Tegner评分比较,差异无统计学意义(P>0.05),观察组Lysholm、膝关节功能指数(IKDC)评分高于对照组,KT-1000测量值大于对照组,差异均有统计学意义(P<0.05)。术后6、12个月时,观察组Tegner、Lysholm、IKDC评分高于对照组,KT-1000测量值大于对照组,差异均有统计学意义(P<0.05)。两组并发症发生情况比较,差异无统计学意义(P>0.05)。结论前交叉韧带损伤患者在膝关节前交叉韧带重建术中采用股骨椭圆隧道技术制备股骨隧道,患者移植物滑膜覆盖情况、移植物张力情况更好,且对移植物成熟度、膝关节功能的远期效果更具优势。
Objective To observe the effect of femoral elliptical tunnel technique on graft and knee function in patients with anterior cruciate ligament injury.Methods A total of 80 patients with anterior cruciate ligament injury admitted to Baoji Central Hospital of Shaanxi Province from January 2019 to June 2021 were selected as the study objects,and all of them received single bundle anatomic reconstruction of knee anterior cruciate ligament under arthroscopy.According to different methods of femoral tunnel preparation,the patients were divided into observation group and control group,with 40 cases in each group.The control group adopted circular tunnel technique,and the observation group adopted elliptical tunnel technique.At 3,6 and 12 months after surgery,the two groups were followed up regularly to compare the postoperative graft status,graft maturity,knee function and complications.Results At 12 months after surgery,the synovial membrane coverage and graft tension in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).At 3 months after surgery,there was no statistical significance on the proximal,middle and distal graft signal/noise ratio(SNQ)between the two groups(P>0.05).At 6 and 12 months after surgery,the proximal,middle and distal SNQ in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At 3 months after surgery,Tegner score between the two groups showed no statistical significance difference(P>0.05),Lysholm and knee joint function index(IKDC)scores in the observation group were higher than those in the control group,and KT-1000 measurement was greater than that in the control group,the differences were statistically significant(P<0.05).At 6 and 12 months after surgery,Tegner,Lysholm and IKDC scores in the observation group were higher than those in the control group,while KT-1000 measurements were greater than those in the control group,the differences were statistically si
作者
康彦忠
李文龙
KANG Yanzhong;LI Wenlong(The Second Department of Orthopaedics,Baoji Central Hospital of Shaanxi Province,Baoji,Shaanxi 721008,China)
出处
《检验医学与临床》
CAS
2023年第10期1364-1368,共5页
Laboratory Medicine and Clinic
关键词
前交叉韧带损伤
圆隧道技术
椭圆隧道技术
移植物成熟度
膝关节功能
anterior cruciate ligament injury
circular tunnel technique
elliptical tunnel technique
graft maturity
knee joint function
