关节镜下自体骨-髌腱-骨与半腱肌腱重建后交叉韧带的疗效比较  

A COMPARATIVE STUDY ON ARTHROSCOPIC POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING BONE-PATELLAR TENDON-BONE AUTOGRAFT AND SEMITENDINOSUS TENDON AUTOGRAFT

作　　者：蔡建 郑小飞[2] 丁焕文[2] 涂强[2] 

机构地区：[1]汕尾市人民医院,广东汕尾516600 [2]广州军区广州总医院,广东广州510010

出　　处：《现代医院》2011年第12期36-39,共4页Modern Hospitals

摘　　要：目的比较分析膝关节镜下自体骨-髌腱-骨与半腱肌腱重建后交叉韧带的疗效。方法回顾分析21例膝关节镜下自体骨-髌腱-骨移植、28例自体半腱肌腱移植重建PCL的情况,随访36～89个月,平均58.2个月。采用Lysholm膝关节评分、国际膝关节文献编制委员会分级评估标准(IKDC)和KT-1000评价疗效。结果两组间术后关节稳定性及功能差异均无统计学意义。术后后抽屉试验2例半腱肌、1例自体骨-髌腱-骨阳性。自体骨-髌腱-骨重建组3例(14.3%)膝关节10°屈曲受限;半腱肌腱重建组2例(7.1%)屈曲受限。自体骨-髌腱-骨重建组膝前痛发生率较半腱肌腱组高。结论关节镜下自体骨-髌腱-骨与半腱肌腱移植重建PCL的疗效相同。Objective To compare the clinical results of arthroscopic posterior cructiate ligament（PCL） reconstruction with bone-patellar tendon-bone（B-PT-B） autograft and semitendinosus tendon autograft. Methods Arthroscopic PCL reconstruction were performed in 49 patients in this study,with the use of B-TP-B autograft in 21 patients,semitendinosus tendon autograft in 28 patients;The same arthroscopic technique was used to perform the reconstruction.During follow-up,parameters included International Knee Documentation Committee（IKDC） scores,Lysholm scores,incidence of anterior knee pain.The average follow-up was 58.2（range,36～89） months. Results Difference was not statistically significant in two groups of patients＇ satisfaction,stability and joint function.10 ° flexion limitation in 3 cases of bone-patellar tendon-bone autograft.5 ° flexion limitation in 2 case of semitendinosus tendon autograft.Posterior drawer test positive in two cases of bone-patellar tendon-bone autograft,two cases of semitendinosus tendon autograft.The incidence of anterior knee pain was higher in B-TP-B autograft group compared with the other ones. Conclusion B-TP-B autograft and semiteninous tendon autograft have the same clinical curative effect in PCL reconstruction.

关 键 词：后交叉韧带 骨-髌腱-骨 半腱肌腱 关节镜 自体移植 

分 类 号：R687.4[医药卫生—骨科学]