关节镜下多股自体腘绳肌腱双束双隧道重建膝前交叉韧带  

Arthroscopic double-dundle double-tunnel anterior cruciate ligament reconstruction using multi-strand hamstring autograft

作　　者：张春雷[1] 陈游[1] 黄国良[1] 朱迎春[1] 张薇[1] 李桔元[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3期216-220,共5页Journal of Central South University ：Medical Science

基　　金：湖南省自然科学基金(07JJ5062);湖南省科技厅科研项目(2008GK3014)~~

摘　　要：目的:探讨膝关节镜下应用多股腘绳肌腱双束双隧道重建前交叉韧带(anterior cruciate liga-ment,ACL)的方法及疗效。方法:ACL损伤患者21例,男性13例,女性8例,平均年龄25.4(17～50)岁,全部经膝关节镜最后确诊。并在关节镜下分别于ACL股骨胫骨附着处建立两骨隧道,重建ACL的前内侧束及后外侧束;股骨侧以带袢钢板(Endo-buttons)悬吊固定,胫骨侧以生物型阻滞螺钉固定。结果:术后随访15.8(13～23)月。术前所有患者前抽屉试验均为阳性,Lachman试验19例阳性。术后屈膝90°时前抽屉试验20例阴性,1例阳性;Lachman试验19例阴性,1例弱阳性,1例阳性。Lysholm评分术前36～58分,术后71～95分,术后总优良率95.2%。结论:双隧道多股自体腘绳肌腱重建ACL能更好地有效恢复膝关节动态稳定性,疗效满意。Objective To explore surgical reconstruction and clinical effect of arthroscopic double-bundle double-tunnel reconstruction of anterior cruciate ligament(ACL) with multi-strand hamstring tendons autograft.Methods Twenty-one patients(13 males and 8 females) with ACL deficiency were diagnosed with arthroscopy,with an average age of 25.4(17～50) years.The 2 separate tibial tunnels and 2 femoral tunnels were drilled on the footprint of the ACL to reconstruct the anteromedial and posterolateral bundles with arthr...

关 键 词：前交叉韧带 关节镜检查 自体移植物 膝关节 

分 类 号：R687.2[医药卫生—骨科学]