关节镜结合有限切开治疗膝关节多韧带损伤  

Arthroscopy combined with limited incision in the treatment of multiple ligament knee injuries PENG

作　　者：彭永海[1] 张青松[1] 李烨[1] 胡勇[1] 汤洁[1] 

机构地区：[1]武汉市普爱医院骨科,430033

出　　处：《临床外科杂志》2012年第11期796-798,共3页Journal of Clinical Surgery

摘　　要：目的探讨应用关节镜结合有限切开治疗膝关节多韧带损伤的方法和近期疗效。方法膝关节多韧带损伤患者25例，采用关节镜下异体胫前肌腱重建前后交叉韧带，同时有限切开修复关节周围韧带，处理合并的半月板软骨损伤。术前按照国际膝关节文献委员会（IKDC）综合评价患膝功能均为D级，Lysholm评分平均为（35．0±1．4）分。结果25例患者术后获24～30个月（平均27．4个月）随访，患膝功能均明显改善。末次随访时IKDC综合评价结果：A级10例，B级12例，C级3例，Lysholm评分平均为（92±1．8）分，与术前相比差异有统计学意义（P〈0．05）。结论关节镜下同种异体胫前肌腱重建前后交叉韧带结合有限切开修复损伤韧带，可以明显改善膝关节功能，临床疗效较好。Objection To evaluate the method and shortterm effect of arthroscopy combined with limited incision in the treatment of multiple ligament knee injuries. Methods The clinical data of 25 pa tients with multiple ligament injuries were reviewed retrospectively. All of the anterior and posterior cruci ate ligaments were reconstructed under arthroscopy with anterior tibial muscle tendon allografts. The liga ments around the knee, the meniscus and the cartilages were repaired through a limited incision. The Inter national Knee Documentation Committee（IKDC） grades and Lysholm scores were recorded before and after operation respectively. Results All the patients were followed up from 24 to 30 months with an average time of 27.4 months, and their knee function improved obviously. All the IKDC grades were grade D before operation and then turned to grade A in 10 cases,grade B in 12 cases and grade C in 3 cases postopera tively. The average Lysholm score was （ 92 ±1.8 ） and got improved significantly （ P 〈 0.05 ）. Conclusion Reconstruction the cruciate ligaments with anterior tibial muscle tendon allografts under the arthroscopy through a limited incision could significantly improve the function of knees with good outcomes.

关 键 词：前交叉韧带 后交叉韧带 多韧带损伤 重建 关节镜 

分 类 号：R681[医药卫生—骨科学]