关节镜下自体半腱肌、股薄肌、Endobutton系统和可吸收螺钉重建前交叉韧带疗效  

Efficacy of arthroscopic reconstruction of anterior cruciate ligament with autogenous semitendinosus,gracilis muscle fixed by Endobutton system and bioabsorbable screw

作　　者：朱伟[1] 孙俊英[1] 朱礼贤[2] 顾联[2] 

机构地区：[1]苏州大学附属第一医院骨科,江苏省215006 [2]泰州市人民医院骨科

出　　处：《江苏医药》2012年第10期1201-1203,共3页Jiangsu Medical Journal

摘　　要：目的探讨利用Endobutton系统配合可吸收界面螺钉固定自体半腱肌、股薄肌肌腱重建膝关节前交叉韧带(ACL)的临床效果。方法关节镜下利用自体半腱肌和股薄肌肌腱重建ACL治疗膝关节ACL损伤患者37例,ACL股骨髁部应用Endobutton系统方法固定,胫骨侧应用可吸收界面螺钉固定,ACL在胫骨和股骨侧的断裂残端保留。结果所有患者随访时间6-18个月,术后Lysholm评分较术前提高[(91.7±4.2)分vs.(53.6±4.8)分](P<0.05)。结论自体半腱肌、股薄肌、Endobutton系统和可吸收界面螺钉重建ACL具有近期疗效满意、移植物固定可靠、操作简单、并发症少等优点。Objective To investigate the efficacy of arthroscopic reconstruction of anterior cruciate ligament（ACL） with autogenous semitendinosus, gracilis muscle fixed by Endobutton system and bioahsorbable screw. Methods The injured ACLs of 37 cases were reconstructed by means of autogenous semitendinosus and gracilies tendon autograft under arthroscopy. The femoral side was fixed using Endobutton system and the tibial side was fixed by absorbable interference screw. ACL tibial and femoral stumps were reserved. Results All patients were followed up for 6 to 18 months. Compared to before, the Lysholm score after operation was elevated from （53.6 ± 4.8） points to （91.7 ±4.2） points（P〈0. 05）. Conclusion Autogenous semitendinosus and gracilies tendon autograft fixed by Endobutton system and absorbable interference screw has the advantages of simple operation, firm fixation and less complications.

关 键 词：前交叉韧带 关节镜 Endobutton系统 可吸收界面螺钉 

分 类 号：R681[医药卫生—骨科学]