关节镜下重建膝前交叉韧带位点的选择与固定  

Selection of Isometric Point and Fixation in Anterior Cruciate Ligament Reconstruction with Arthroscope

作　　者：李大刚[1] 吴志伟[1] 杨俊[1] 郭元利[1] 

机构地区：[1]福建医科大学附属厦门第一医院骨科,福建省厦门市361003

出　　处：《中国骨与关节损伤杂志》2006年第8期622-624,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨关节镜下应用半腱肌、股薄肌肌腱重建膝前交叉韧带时等长点及骨隧道角度的选择。方法经临床及膝关节镜检查诊断的膝前交叉韧带损伤者27例。术前、术后用Harner的四分法将Blumensaat线四等分，设计理想的等长点和骨隧道。术后进行分析总结。结果本组27例，患者术后随访6～24个月，Lysholm膝关节功能评分标准，术前（45．5±6．5）分，术后（96．2±2．2）分，（P〈0.01）。结论关节镜下重建膝前交叉韧带的手术中，准确定位等长点，良好的隧道角度，术前、术后进行分析，有助于减少因骨隧道位点不正确，而引起术后膝关节功能障碍及髁间撞击征。Objective To investigate the selection of isometric points and bone tunnel＇s angel in anterior cruciate ligament （ACL） reconstruction using quadrupled semitendinosus tendon and gracilis tendon under arthroscope. Methods Twenty- seven patients with rupture of ACL were diagnosed through clinical and arthroscopic examination. Isometric points and bone tunnel＇ s angel were determined by Harner＇s method that divided Blumensaat line into quarto parts. Results Patients were followed up averagely for 6 to 24 months. According to Lysholm knee scale scoring, the average knee scores were 45.5 ± 6.5 and 96.2 ± 2.2 respectively before and after operation, （P 〈 0.01 ）. Conclusion Harner＇s method can be used for choosing an accurate isometric point and an perfect bone tunnel＇s angel in ACL reconstruction under arthroscope, which facilitates reducing knee dysfunction and intercondylar impinge syndrome after operation due to the incorrect bone tunnel points.

关 键 词：前交叉韧带重建 关节镜检查 半腱肌腱 股薄肌腱 

分 类 号：R686[医药卫生—骨科学] R683.42[医药卫生—外科学]