关节镜下LARS韧带与自体腘绳肌腱重建前交叉韧带的早期临床疗效比较  

Comparison of early clinical outcome of ACL reconstruction by arthroscopy between LARS artificial ligament and autologous hamstring tendon

作　　者：范文斌[1] 赵建宁[1] 

机构地区：[1]南京大学医学院临床学院(南京军区南京总医院)骨科,江苏省南京市210002

出　　处：《中国骨与关节损伤杂志》2013年第7期635-637,共3页Chinese Journal of Bone and Joint Injury

基　　金：国家自然科学基金青年基金项目(81000814)

摘　　要：目的回顾性研究LARS韧带和自体腘绳肌腱重建前交叉韧带(ACL)的早期临床疗效。方法自2008年7月～2011年2月对54例ACL损伤分别行关节镜下LARS韧带和自体腘绳肌腱重建ACL,腘绳肌腱组31例,LARS韧带组23例,分别对其术前术后行Lysholm、Tegner、IKDC评分,并选取最近一次随访结果进行统计分析。结果术后LARS韧带组的膝关节Lysholm、Tegner、IKDC评分略高于腘绳肌腱组,但两组差异无统计学意义(P>0.05)。结论 LARS韧带和自体腘绳肌腱重建ACL能明显改善患者的功能,LARS韧带组和自体韧带组有相似的早期疗效,且恢复时间明显缩短。Objective To retrospectively study the early clinical outcome after anterior cruciate ligament （ACL） reconstruction using Ligament Advanced Reinforcement System （LARS） aRificial ligament versus autogenous hamstring tendon graft. Methods Fifty-four cases of ACL injury were studied from July 2008 to February 2011. Thirty-one patients were treated by hamstring tendon autograft （hamstring tendon autograft group）. Other twenty-three patients were treated by LARS aRificial ligament （LAIRS group）. The Lysholm knee scoring scale, Tegner scores and International Knee Documentation Committee （IKDC） scoring systems were used to evaluate the clinical results. Results The results measured by Lysholm scores, IKDC and Tegner scores, showed using a LARS graft clinically tended to be superior to using a hamstring tendon graft, there were no significant differences calculated （P 〉0.05）. Conclusion Our results suggest that ACL reconstruction using a LARS ligament or autologous hamstring tendon dramatically improves the function outcome. The early clinical efficacy in LARS group and hamstring tendon autograft group is homologous, and recovery time in LARS group is significantly shortened.

关 键 词：前交叉韧带 LARS人工韧带 自体韧带 关节镜 

分 类 号：R687.2[医药卫生—骨科学]