交叉韧带重建手术中可吸收挤压螺钉的应用  

Arthroscopic Reconstruction of The Cruciate Ligament Fixed with Bioabsorbable Interference Screws

作　　者：王青[1] 范卫民[1] 李翔[1] 王道新[1] 

机构地区：[1]南京医科大学第一附属医院骨科,江苏南京210029

出　　处：《生物骨科材料与临床研究》2007年第4期21-23,26,共4页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的探讨交叉韧带重建术中可吸收挤压螺钉的使用方法和疗效。方法总结53例交叉韧带重建病例使用可吸收挤压螺钉的情况,在术中、术后并发症、术后康复、膝关节功能状况等方面进行回顾性分析。结果三例出现韧带切割现象。两例股骨侧螺钉拧入后导引针无法拔出。一例挤压螺钉断裂。术后Lysholm评分平均92.4±4.1。结论交叉韧带重建术中使用可吸收挤压螺钉固定的方法固定牢固,术后恢复快,利于早期康复。Objective To evaluate the technique and outcomes ofarthroscopic reconstruction of the cruciate ligament fixed with bioabsorbable interference screws. Methods 53 cases of cruciate ligament reconstruction （ACL or PCL） were performed with the fixation of interference screws, Complications, postoperative rehabilitation and function of the knee were analyzed, Results We found ligament-cutting phenomenon in 3 patients. The guide pins couldn＇t be pulled out after the screws were fixed in 2 cases, There was one case ofintraarticular migration of a broken biodegradable interference screw after anterior cruciate ligament reconstruction. The average Lysholm score was 92.4±4.1. Conclusions Our results indicated that this method has the advantages of firm graft fixation, and early rehabilitation.

关 键 词：交叉韧带重建 可吸收挤压螺钉 关节镜 

分 类 号：R687.3[医药卫生—骨科学]