后内束减张经胫骨骨道双束重建后交叉韧带  

Application of Posteromedial Graft Tension-reducing Technique in Double Bundle Transtibial Posterior Cruciate Ligament Reconstruction

作　　者：马勇[1] 崔国庆[1] 敖英芳[1] 梅宇[1] 肖健[1] 闫辉[1] 程序[1] 

机构地区：[1]北京大学第三医院运动医学研究所,北京100191

出　　处：《中国运动医学杂志》2012年第11期957-961,共5页Chinese Journal of Sports Medicine

摘　　要：目的:评估采用后内束减张技术经胫骨骨道双束重建后交叉韧带的初步临床效果。方法:2005年7月至2008年6月,关节镜下后内束减张技术经胫骨骨道双束重建后交叉韧带的24名患者纳入本研究。围手术期观察止血带时间和手术并发症。所有患者平均随访37.0个月(至少24个月),随访内容包括术后膝关节IKDC功能评分、Lysholm评分以及KT-2000膝关节后向松弛度检查。结果:手术平均止血带时间为92分钟,未出现并发症。术后膝关节检查IKDC标准分级结果:A级8例、B级13例、C级3例;Lysholm评分平均89.8±2.8(85～95);双侧膝关节后向KT-2000差值为(2.1±1.3)mm。结论:后内束减张技术经胫骨骨道双束重建后交叉韧带可有效改善膝关节后向稳定性并获满意临床效果。Objective To evaluate the early clinical outcome of transtibial double bundle posterior cruciate ligament （PCL） reconstruction with application of posteromedial （PM） bundle tension-reducing technique. Methods We retrospectively studied 24 patients with PCL reconstruction using the PM ten- sion-reducing technique from July 2005 to June 2008. The average follow-up period was 37.0 months（at least 24 months）. Mean tourniquet time and complications in perioperative period were recorded. The outcomes were evaluated by objective IKDC grade, Lysholm score and KT-2000 arthrometry. Results The mean tourniquet time was 92 minutes without complication in perioperative period. According to the final International Knee Documentation Committee （IKDC） standard form, there were 33.3% （8 of 24） normal （A） ,54.2%（13 of 24） nearly normal （B） ,and 12.5%（3 of 24） abnormal （C）. The final mean Lysholm knee score was 89.8±2.8 points（range, 85-95 points）. The mean side-to-side difference of final posteri- or tibial translation by KT-2000 was 2.1 ±1.3 mm. Conclusion Follow-up showed that the transtibial double-bundle posterior cruciate ligament reconstruction with PM tension-reducing technique produces satisfactory clinical outcome and knee stability ,which indicates that the described technique should be viewed as a viable alternative.

关 键 词：后交叉韧带 后内束 减张 重建 

分 类 号：R687.3[医药卫生—骨科学]