A follow-up study of arthroscopic combined reconstruction of anterior and posterior cruciate ligaments with allograft patellar tendon  

作　　者：谢峰 杨柳 郭林 代灿 韩雪松 

机构地区：[1]Center for Joint Surgery Southwest Hospital,Third Military Medical University

出　　处：《Chinese Journal of Traumatology》2007年第6期334-338,共5页中华创伤杂志（英文版）

摘　　要：Objective:To evaluate the therapeutic effect of combined reconstruction of anterior cruciate ligament (ACL)and posterior cruciate ligament(PCL) simultaneously by using allograft patellar tendon under arthroscopy. Methods:From May 2003 to November 2005,10 cases of ruptured ACL and PCL were fixated with compressed screws and reconstructed under arthroscopy with allograft patellar tendon simultaneously.The clinical results were evaluated according to IKDC,Lysholm,and Tegner clinical rating scales. Results:All patients were followed up for 12-30 months(mean:18 months).At the last follow-up,there was no knee extension limitation and knee flexion was between 120°and 135°,with an average of 128.38°.The Lysholm score of the 10 cases was 66.5±5.6 before operation and 89.8±3.4 at last follow up.The difference was statistically significant(P<0.01).The average Tegner activity score decreased from 6.9±1.7(range.4-9)before injury to 5.5±1.6(rang:2-9)at the follow-up (P=0.53).At the end of follow-up,IKDC score was graded as A in 4 cases(40.0%),B in 5(50.0%),and C in 1(10.0%).Of the 10 patients,8 returned to the same sports level as before injury and 2 were under the level. Conclusion:Arthroscopic combined reconstruction of ACL and PCL with allograft patellar tendon has the advantages of minimal trauma in surgery and reliable satisfactory outcome.

关 键 词：ARTHROSCOPY Anterior cruciate ligament Posterior cruciate ligament TRANSPLANTATION 

分 类 号：R687.2[医药卫生—骨科学]