关节镜下自体骨-半腱肌股薄肌腱双束重建膝关节后交叉韧带  

Double-bundle posterior cruciate Hgament reconstruction using bone-semitendinosus and gracilis tendons under arthroscope

作　　者：孙英华[1] 焦兆德[1] 王莉[1] 王燕青[1] 

机构地区：[1]潍坊医学院第三附属医院骨外科,262500

出　　处：《中国医师进修杂志（外科版）》2008年第8期17-19,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨关节镜下应用自体骨-半腱肌股薄肌腱双束重建膝关节后交叉韧带（PCL）的方法及疗效。方法回顾性分析2004年3月至2007年3月在关节镜下应用自体骨一半腱肌股薄肌腱双束重建膝关节PCL16例患者的临床资料。术中用环钻钻取肌腱附着点柱状骨块，建立股骨双骨道及胫骨骨道，确保移植物在股骨及胫骨骨道内紧密固定。术前及术后12个月时用Lysholm评分评定膝关节功能。结果16例患者术前Lysholm评分平均为57分（43～65分），术后12个月时平均为86分（68～92分），总优良率87．5％。术后无感染等并发症。结论关节镜下应用自体骨-半腱肌股薄肌腱双束重建膝关节PCL可有效改善膝关节稳定性。术中股骨及胫骨骨道精确定位、术后系统康复治疗是确保手术疗效的关键。Objective To evaluate the method and effect of double-bundle posterior cruciate ligament （PCL） reconstruction using bone-semitendinosus and gracilis tendons tmder arthroscope. Methods The data of 16 patients was reviewed, who had underwent arthroscopic PCL reconstruction using the bone-semitendinosus and graeilis tendons from March 2004 to March 2007. A special technique using trephine was allowed for the cylindrical bone plugs attached to the semitendinosus and gracilis tendons. The femoral double-tunnel and the tibial tunnel were prepared, and the adequate press-fit fixations of tendon grafts were ensured within them. Results All patients were followed up. Before operation, the mean Lysholm score was 57 points （43-65 points）. While 12 months later after operation, the mean Lysholm score was 86 points （68-92 points）. The. excellent and good results were obtained in 87.5%. Conclusions Arthroscopic PCL reconstruction using bone-semitendinosus and gracilis tendons can effectively improve the stability of the knee joint. The key to achieve a good treatment is that precise positions of femoral and tibial tunnels in operation and systematic rehabilitation trainings after operation were performed.

关 键 词：关节镜检查 组织移植 后交叉韧带 修复外科手术 

分 类 号：R687.4[医药卫生—骨科学] R686.505[医药卫生—外科学]