关节镜下单束重建后交叉韧带临床疗效分析  

Curative effect analysis of arthroscopic single band posterior cruciate ligament reconstruction

作　　者：王瑞[1] 徐斌[1] 徐洪港[1] 

机构地区：[1]安徽医科大学第一附属医院骨科,安徽合肥230032

出　　处：《安徽医药》2013年第1期55-57,共3页Anhui Medical and Pharmaceutical Journal

基　　金：安徽省自然科学基金项目(No 1208085MH157)

摘　　要：目的探讨、分析关节镜下利用自体腘绳肌及同种异体肌腱单束重建后交叉韧带的中期临床疗效。方法关节镜下利用自体肌腱或异体胫前肌腱及跟腱辅以endo-button系统及生物型可吸收界面螺钉治疗50例膝关节后交叉韧带损伤患者。结果所有患者平均随访2.45年,按Lysholm膝关节功能评分与Tegner膝关节运动评分标准,术前患者术前平均56.4分(Ly-sholm),3.0分(Tegner),术后80.3分(Lysholm),6.2分(Tegner)。结论自体半腱肌、股薄肌与同种异体肌腱重建膝关节后交叉韧带强度好,植入后固定牢靠,术后并发症少。Objective To study the clinical curative effect for arthroscopic single band reconstruction of posterior cruciate ligamentwith autogenous semitendinosus and gracilies or allograft.Method 50 cases of injiued posterior cruciate ligament were reconstructed by means of semitendinosus and gracilies by autogenous or anterior tibial muscle＇s tendon or achiles＇s tendon by allograft fixed by endo-button system and bioabsorbable screw.Results Follow up time was 2.45 years on average for all 50 cases.Based on Lysholm score and on Tegner score to describe function of knee joint,the PCL reconstruction scores were 56.4（Lysholm）,3.0（Tegner）on average before operation,and 80.3（Lysholm）,6.2（Tegner）on average after operation.Conclusions The bonding of four-stranded semitendinosus or allograft anterior tibial muscle are similar with anterior or posterior cruciate ligament and its strength are more stronger.Four-stranded construction and reliable fixation by absorbable screws and endo-button system is rigid with low complication.

关 键 词：关节镜 后交叉韧带 

分 类 号：R687.2[医药卫生—骨科学]