自体腘绳肌腱与同种异体肌腱移植重建前交叉韧带的临床疗效分析  

Clinical Effects of Anterior Cruciate Ligament Reconstruction with Tendon Allograft and Hamstring Tendon Autograft

作　　者：杨光[1] 何飞[1] 李彦林[1] 陈文栋[1] 王国梁[1] 许鹏[1] 

机构地区：[1]昆明医学院第一附属医院骨科,云南昆明650032

出　　处：《昆明医学院学报》2011年第10期54-57,共4页Journal of Kunming Medical College

基　　金：云南省社会发展科技计划项目基金资助项目(2009CA020)

摘　　要：目的探讨关节镜下同种异体胫前肌腱与自体腘绳肌腱重建前交叉韧带(ACL)的临床疗效.方法选择2008年12月至2010年8月昆明医学院第一附属医院骨科膝关节前交叉韧带重建患者46例,其中男27例,女19例,分为A组:自体肌腱移植重建25例,B组:同种异体肌腱移植重建21例.术后进行临床体检及前/后抽屉试验、Lachman试验、膝关节应力X线片、髌骨轴位片及MRI等相关检查,Lysholm评分,IKDC评分,AKS评分.术后随访4～24个月,平均12.4个月.结果两组病例术后Lysholm评分,IKDC评分,AKS评分测试结果差异无统计学意义(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良好的移植物之一.Objective To compare the clinical results of anterior cruciate ligament（ACL） reconstruction with anterior tibial muscle tendons allograft and hamstring tendons autograft.Methods 46 patients who received ACL reconstruction at the Department of Orthopaedics,The First Affiliated Hospital of Kunming Medical College from December of 2008 to August of 2010,including 27 males and 19 females,were divided into 2 groups：group A（25 patients,used Hamstring Tendon Autograft）and group B（21 patients,used Anterior Tibial Muscle Tendons Allograft）.Lysholm,IKDC,AKS clinical rating scales and Physical and clinical examination were used for evaluation postoperative effects.Patient were followed up for 4～24 months,averagely for 12.4 months.Result There was no statistically significant difference in Lysholm,IKDC,AKS clinical rating scales between group A and group B（P 0.05）.Conclusion The clinical outcomes of ACL reconstruction with Hamstringtendon allograft versus autograft are almost similar,and allograft is a reasonable alternative choice for ACL reconstruction.

关 键 词：自体腘绳肌腱 同种异体肌腱 前交叉韧带 重建 

分 类 号：R686.1[医药卫生—骨科学]