膝关节后外侧角损伤对前交叉韧带重建的影响  

The influence of posterolateral corner injury on anterior cruciate ligament reconstruction

作　　者：高玉镭[1] 李佩佳[1] 王东辰[1] 崔存宝[1] 张新广[1] 唐胜斌[1] 田敏[1] 

机构地区：[1]解放军第88医院全军骨科中心,山东泰安271000

出　　处：《中国矫形外科杂志》2012年第16期1455-1458,共4页Orthopedic Journal of China

摘　　要：[目的]评估后外侧角损伤对前交叉韧带重建的影响。[方法]2004年3月～2008年12月,作者复习了59例接受前交叉韧带重建的患者资料。39例患者接受单纯ACL重建(A组),20名患者接受ACL和后外侧角联合重建(B组)。通过术前到术后3年的随访资料来评价疗效。[结果]术后采用KT 2000测量仪测得的在胫前移位平均差值,A组(2.1±0.9 mm)>B组(1.5±0.8 mm)(P=0.032)。A组6膝(15.4%)、B组2膝(10%)有Ⅰ级前移。A组和B组Lysholm评分平均分别为92.9分和90.0分(P=0.387)。根据IKDC评分,A组32膝(82.1%)和B组20膝(85.0%)得分相同或基本相同(P=0.853)。[结论]前交叉韧带联合后外侧角重建比单纯交叉韧带重建使膝关节更稳定,然而两组在术后功能上并没有表现出显著差异。[ Objective] To evaluate the influence of posterolateral corner injury on anterior cruciate ligament （ACL） recon- struction. [ Method] We retrospectively studied fifty-nine patients who underwent ACL reconstruction from February 2001 to December 2005. Thirty-nine patients underwent isolated ACL reconstruction （ Group A）, and twenty patients underwent combined ACL and posterolateral coruerre construction （Group B）. Clinical outcomes were determined from data obtained before surgery and at the time of the 3-year follow-up examination. [ Result] Postoperatively, the mean difference in anterior tibial translation measured with a KT2000 arthrometer, was greater for Group I （2.1 ± 0.9 mm） than for Group II （ 1.5 ± O. 8 mm） （ P = 0. 032）. Six knees（ 15.4% ） in Group A and two knees（ 10.0% ） in Group B had grade-1 anterior translation. The mean Lysholm score was 92.9 in Group A and 90.0 in Group B （ P = O. 387 ）. Thirty-eight knees （ 82.6% ） in Group A and twenty knees （87.0%） in Group B were classified as normal or nearly normal according to the International Knee Documentation Committee scoring system （ P = 0. 853）. [ Conclusion] Combined ACL and posterolateral corner reconstruction allows less anterior transla- tion than isolated ACL reconstruction. However, we could not identify significant differences between the two groups in terms of functional outcomes.

关 键 词：前交叉韧带重建 膝后外侧角损伤 影响 

分 类 号：R684.7[医药卫生—骨科学]