关节镜下使用LARS人工韧带重建膝前、后交叉韧带  

Arthroscopic reconstruction of anterior and posterior cruciate ligaments with LARS artificial liga-ments

作　　者：叶俊星[1] 沈光思[1] 周海斌[1] 谢宗刚[1] 徐炜[1] 董启榕[1] 徐又佳[1] 

机构地区：[1]苏州大学附属第二医院骨科,苏州215007

出　　处：《中华创伤杂志》2013年第6期526-531,共6页Chinese Journal of Trauma

摘　　要：目的探讨膝关节镜下使用LARS人工韧带重建同侧膝关节前交叉韧带（anterior cruciate ligament，ACL）和后交叉韧带（posterior crueiate ligament，PCL）的初步临床效果。方法从2006年6月开始，在关节镜下运用LARS人工韧带对21例ACL、PCL断裂患者进行重建，其中男13例，女8例，平均年龄31．5岁。所有患者术前MRI明确诊断为ACL、PCL断裂，Lysholm评分（47．6±6．7）分，手术在关节镜下进行，先重建PCL，再重建ACL。结果对21例患者均进行36～49个月（平均42个月）的随访，未发生感染、韧带断裂、松动等术后并发症。术后3年，Lysholm评分（90．8±3．7）分；国际膝关节评分委员会（International Knee Documentation Committee，IKDC）评分，正常14例，接近正常6例，不正常1例，优良率达95％。结论使用LARS人工韧带重建能够使ACL、PCL断裂患者的膝关节获得解剖学重建和稳定性。关节镜下手术具有创伤小、迅速恢复和满意的治疗效果等优势。Objective To investigate the initial effect of LARS artificial ligaments arthroscopically in reconstruction of ipsilateral anterior cruciate ligament （ACL） and posterior crueiate ligament （PCL）. Methods A total of 21 patients （ 13 males and 8 females, at average age of 31.5 years） received ACL and PCL restoration using LARS artificial ligaments since June 2006. Preoperative MRI exactly confirmed them as ACL and PCL ruptures. Lysholm score on knee joint was （47.6±6.7 ） points. Surgery had reconstruction of PCL prior to ACL under arthroscope. Results All patients were followed up for average 42 months （range, 36-49 months）, which showed no infection, ligament rupture, ligament loosening, or other postoperative complications. At postoperative 3 years, Lysholm score was （90. 8±3.7 ） points and International Knee Documentation Committee （IKDC） score was normal in 14 patients, near normal in six, and abnormal in one, with excellent-good rate of 95%. Conclusions LARS artificial ligaments can attain anatomical reconstruction and stability of the knee joint in treatment of ACL and PCL ruptures. Meanwhile, arthroscop- ic surgery shows superiorities of micro-wound, rapid recovery and satisfactory curative effect.

关 键 词：韧带 关节镜 人工韧带 

分 类 号：R687.4[医药卫生—骨科学]