关节镜下应用同种异体跟腱重建膝关节交叉韧带的疗效观察  

Primary observation on reconstruction of cruciate ligaments of knee joint with calcaneal-tendon allograf

作　　者：王庆锋[1] 温鹏[1] 杨晓宇[1] 任磊[1] 万钧[1] 

机构地区：[1]宁夏自治区人民医院,宁夏银川750021

出　　处：《宁夏医学杂志》2007年第9期776-778,共3页Ningxia Medical Journal

基　　金：宁夏自治区卫生厅重点科研计划课题(W200615)

摘　　要：目的探讨关节镜下应用同种异体跟腱修复膝关节交叉韧带损伤的临床疗效。方法应用经深低温冷冻异体跟腱重建方法在关节镜下修复13例膝关节交叉韧带损伤患者。前交叉韧带(ACL)2例,后交叉韧带(PCL)3例,前、后交叉韧带一期修复8例。7例行半月板部分切除;内侧副韧带损伤5例,部分行修补术。结果采用Lysholm膝关节功能评分法[1],术前平均32分,术后平均85分,术后随访5-24个月,平均随访11个月,优良率83%。结论应用同种异体跟腱修复膝关节前、后交叉韧带损伤,避免了自体取材造成的再损伤及其并发症,术后通过系统的康复治疗,能恢复膝关节的功能。Objective To explore a method on reparation of knee ligament trauma with calcaneal - tendon allograf so as to avoid additional injury of peripatellar tissue and complications caused by procuring autograft from the pateliar tendon. Methods From March 2005 to October 2006, 13 cases of the injured cruciate ligament reconstructed under arthroscopy with deep - frozen achilles tendon allograft, included 2 cases of ACL, 3 cases of PCL, 8 cases of ACL and PCL combined reparation. 7 tore meniscus were partially resected, 5 knee were combined with rupture of the media collateral ligament were partially repaired. All of them were followed up for 5 to 24 months （an average of 14 months）. Results According to the Lysholm score method, the average scorce was 32 preoperatively, and 85 postoperatively. The satisfactory rate was 83%. Knee instability was not seen in the whole cases after operation. Recovery of stability in coronary axis was apparent, extension and flexion of knee joints became normal. Conclusion The injury and complication caused by the autograft can be avoided by using calcaneal - tendon allograf to repair multiple knee ligament trauma. After the systemic rehabilitation, the function of the knee can be restored reliably.

关 键 词：同种异体跟腱 前交叉韧带 后交叉韧带 关节镜 

分 类 号：R687.2[医药卫生—骨科学]