自体腱重建膝内侧副韧带手术探讨  

Reconstruction of knee medial collateral ligaments

作　　者：陈游[1] 俞芳[1] 朱迎春[1] 黄国良[1] 张春雷[1] 

机构地区：[1]中南大学湘雅二医院骨科,长沙410011

出　　处：《中南大学学报（医学版）》2009年第2期109-114,共6页Journal of Central South University ：Medical Science

基　　金：湖南省科技厅资助(07jj-5062)~~

摘　　要：目的:探讨重度膝内侧副韧带断裂修复重建的手术方法及临床疗效。方法:对33例严重膝内侧副韧带断裂患者采取手术重建、修复方法治疗。全部患者损伤程度为III度,即内侧副韧带浅层及深层全部断裂,部分患者合并半月板损伤、胫骨平台骨折。手术方法采用在解剖修复内侧副韧带基础上游离移植自体半腱肌腱(semitendinous tendon,ST)或骨-髌韧带-骨(bone-patella tendon-bone,BPTB)重建内侧副韧带浅层。结果:33例患者得到随访,随访时间为43.1(3～71)月。术后症状明显改善,膝关节无明显不稳及疼痛者27例;仍感觉有内侧不稳定者1例,外翻应力位X线照片检查,患膝内侧间隙增宽大于5mm;膝关节仍感疼痛者5例,5例中膝关节屈伸功能未完全恢复者4例。术后Lysholm评分为81～91(87.42±3.78)分,与术前0～56(26.45±21.03)分相比较有统计学差异(P<0.01)。结论:游离肌腱移植重建膝内侧副韧带效果佳。BPTB及ST均是可供选择的移植物。Objective To explore surgical reconstruction therapy and clinical effect of serious medial collateral ligament ruptures of the knee.Methods Thirty-three patients with medial collateral ligament rupture were treated by operative repair and reconstruction.The degree of injury in all patients was Grade III.Some patients complicated with posterior medial capsule and anterior cruciate ligament,complete posterior cruciate ligament rupture,and some complicated with menisci injury,even tibial plateau fracture.After...

关 键 词：膝关节 内侧副韧带 重建 移植物 半腱肌腱 骨-髌韧带-骨 

分 类 号：R687.2[医药卫生—骨科学]