关节镜下自体与同种异体肌腱重建膝关节前交叉韧带的临床研究  

Clinical study of arthroscopic anterior cruciate ligament reconstruction:allograft versus autograft

作　　者：徐强[1] 孙康[2] 孙洪亮[1] 盖鹏宙[1] 聂锋[1] 刘洪涛[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院关节骨科,山东烟台264000 [2]青岛大学医学院附属医院关节外科,青岛266000

出　　处：《中国矫形外科杂志》2010年第12期995-998,共4页Orthopedic Journal of China

摘　　要：[目的]比较自体与同种异体肌腱关节镜下重建膝关节前交叉韧带(ACL)的临床疗效。[方法]回顾分析了56例ACLⅢ度损伤病人,将其分为2组;A组:自体肌腱移植30例;B组:同种异体肌腱移植26例。两组病人采用相同的手术方法,术后随访25～48个月,平均34.4个月。[结果]理学检查、Lysholm-Tegner和IKDC膝关节综合功能评定及KT2000检测,手术前后两组各项指标差异均有统计学意义(P<0.05);但两组间术后各项指标差异均无统计学意义(P>0.05)。[结论]同种异体与自体肌腱重建ACL的疗效相近,是重建ACL良好的移植物。[Objective]To compare the clinical outcomes of arthroscopic anterior cruciatc ligament （ACL） reconstruction with Hamstring tendon allograft and autograft.[Method]In a retrospective study,fifty six patients with grade Ⅲ ACL injuries were divided into 2 groups（A：Hamstring tendon autograft,n=30,B：Hamstring tendon allograft,n=26）.All patients received the same procedure performed endoscopically by the same senior surgeon.All patients were followed up for an average of 34.4 months （25 to 48 months）.[Result]There was no statistically significant difference between groups with respect of physical examination,Lysholm-Tegner score,IKDC and KT-2000 testing （P0.05）.Significant differences were found tetween preoperation versus postoperation in both groups（P0.05）.[Conclusion]The clinical outcomes of ACL reconstruction with Hamstring tendon allograft versus autograft is almost the same.Allograft is a reasonable alternative choice for ACL reconstruction.

关 键 词：关节镜 前交叉韧带 移植 同种异体肌腱 自体肌腱 

分 类 号：R687.4[医药卫生—骨科学]