关节镜下自体-同种异体混编肌腱重建前交叉韧带的临床疗效分析  

Arthroscopic reconstruction of anterior cruciate ligament after knee joint dislocation using auto-allo-graft

作　　者：许沛荣[1] 陈伟南[1] 金根洋[1] 高建明[1] 何俊山[1] 王亚东[1] 宗序华[1] 

机构地区：[1]解放军第101医院骨科五区,江苏无锡214044

出　　处：《实用临床医药杂志》2013年第9期37-39,43,共4页Journal of Clinical Medicine in Practice

摘　　要：目的评估自体-同种异体混编肌腱重建膝关节前交叉韧带的临床疗效。方法选择2006年2月至2009年2月于本院就诊的前交叉韧带损伤患者80例,术前、术后行Lachman试验、国际膝关节文献委员会分级(IKDC)、Lysholm评分及KT-1000测试,进行主客观评分,评估重建疗效。结果重建术后顺利完成康复训练并获得3年随访的病例共80例,重建前后的Lachman试验、IKDC评分及Lysholm评分及KT-1000测试差异均有统计学意义(P<0.05)。结论自体-同种异体混编肌腱重建膝关节前交叉韧带的疗效确切,值得临床推广。Objective To assess the therapeutic effects of auto-allo-graft used in reconstruction of anterior cruciate ligament.Methods A total of 80 patients who received treatment at the Department of Orthopaedics of our hospital from February 2006 to February 2009 were included in this study.Clinical and physical examination and Lysholm score and IKDC score and KT-1000 were performed before and after surgery.The therapeutic effect was evaluated.Results After surgery,80 patients were successfully healed and were followed up.There was statistical significance in Lachman test,the International Knee Documentation Committee scoring and Lysholm scores and KT-1000 before and after surgery（P0.05）.Conclusion There are a lot of debates on selections of grafts about anterior cruciate ligament reconstruction.Each has its own disadvantages and disadventages.These findings suggest that the therapeutic effect before and after surgery is equally satisfactory.

关 键 词：前交叉韧带 关节镜 同种异体肌腱 自体肌腱 

分 类 号：R686.5[医药卫生—骨科学]