自体腘绳肌腱双束重建前交叉韧带87例临床研究  

87 cases of double-bundle anterior cruciate ligament reconstruction with autologous hamstring tendon

作　　者：王佳时[1] 贺明[1] 王广斌[1] 白伦浩[1] 傅永慧[1] 李彬[1] 

机构地区：[1]中国医科大学附属盛京医院关节运动骨科,辽宁沈阳110004

出　　处：《中国内镜杂志》2013年第4期406-409,共4页China Journal of Endoscopy

摘　　要：目的探讨自体腘绳肌腱双束重建前交叉韧带(Anterior cruciate ligament,ACL)的手术方式及临床疗效。方法回顾性分析2008年5月～2010年3月ACL损伤,行关节镜下自体腘绳肌腱双束重建ACL的患者87例。术后随访时行三维CT、MRI检查影像学变化,KT-2000测量双侧膝关节膝关节前后向松弛差异,并按照Lysholm、Tegner、改良Larson膝关节评分标准进行疗效评价。结果 87例获得随访病例中,随访时间24～46个月(平均32.7个月)。除3例前LacmantestI°(+),但主观无关节松弛感觉外,其余患者随访时移植物位置及关节功能良好。结论自体腘绳肌腱重建ACL可以取得显著临床疗效。双束重建ACL符合解剖生理结构,自体肌腱移植愈合快,关节肿胀发生率低,恢复快可以很好地恢复膝关节功能,术后疗效满意。[Objective] To explore the surgical approach and clinical efficacy of the autogenous hamstring anterior cruciate ligament （ACL） with double-bundle reconstruction.[Methods] 87 cases of ACL injury patients were retrospectively analyzed from May 2008 to March 2010.Three-dimensional CT,changes of MRI examination,KT-2000 measurements imaging,bilateral knee relaxation differences before and after were conducted during postoperative follow-up,and in accordance with the Lysholm,Tegner,improved Larson knee score the efficacy was evaluated.[Results] 87 cases were followed up for 24 to 46 months （mean 32.7 months）.Except for 3 cases anterior drawer test I°（＋） without subjective joint laxity feeling,the other followed up patients had good location of the graft and joint function.[Conclusion] Autogenous hamstring ACL reconstruction can achieve significant clinical efficacy,double-bundle ACL reconstruction with anatomic physiological structure,restore knee function better and postoperative results were satisfactory.

关 键 词：自体腘绳肌腱 关节镜 前交叉韧带 重建 

分 类 号：R687.3[医药卫生—骨科学]