前交叉韧带重建术股骨止点定位的治疗原则与临床效果研究  

Study on Treatment Principles and Clinical Effects of Anterior Cruciate Ligament Reconstruction of the Femur and Ending Point Positioning

作　　者：于洋[1,2] 李众利 白晓伟[2] 傅仰木[2] 廖伟雄[2] 郭晓东[3] 

机构地区：[1]解放军医学院,北京100853 [2]解放军第252医院骨关节外科,河北保定071000 [3]解放军第302医院,北京100039

出　　处：《现代生物医学进展》2014年第17期3266-3268,3299,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金青年科学基金项目(81301239)

摘　　要：目的：探讨前交叉韧带重建术股骨止点定位的治疗原则与临床效果。方法：选取2011年9月-2013年1月在我院开展关节镜下前交叉韧带重建术的38例患者的临床治疗，观察术后治愈情况及不同临床结果下股骨止点定位的差异。结果：38例患者未出现重建失败病例，无翻修手术。手术前后对患者进行Lysholm评分与Tegner运动评级，发现术后患者Lysholm与Tegner评分均显著高于术前，有显著差异，具有统计学意义（P〈0．05）。根据患者临床疗效的不同，分为治疗满意组27例，不满意者11例，观察两种手术结果的股骨止点定位情况发现满意组股骨止点位置为（67．32％±6．53％），不满意组为（61．39％±5．86％），两组数值差异显著，具有统计学意义（P〈0．05）。结论：股骨止点定位对术后患者膝关节能力的恢复有重要作用，前交叉韧带重建术中保证股骨止点定位的有效性对患者临床治疗有显著效果。Objective： To investigate the treatment principles and clinical effects of anterior cruciate ligament reconstruction of the femur and ending point positioning. Methods： 38 patients who were conducted the arthroscopic anterior cruciate ligament reconstruction in our hospital from September 2011 to January 2013 were selected, and the differences in cure and postoperative clinical outcomes under different positioning of the femoral dead after the surgery were observed. Results： No rebuild failure or revision surgery appeared. Lysholm score and Tegner sports ratings were carried out before and after the surgery. The scores of the post-operative Lysholm and Tegner were significantly higher than before with statistically significant differences （P〈0.05）. According to the clinical outcomes, the patients were divided into the satisfied group （n=27） and dissatisfied group （n=11）. The femur ending point position of the satisfied group was （67.32± 6.53）%, while in the dissatisfied group was （61.39± 5.86）%, and the differences were statistically significant between two groups （P〈0.05）. Conclusion： The ending point positioning of the femur has a great impact on clinical effect and is conducive to the postoperative recovery of knee joint ability. The efficacy of femoral ending point position in anterior cruciate ligament reconstruction is helpful to the improvement of clinical treatment effect.

关 键 词：前交叉韧带重建术 股骨止点 隧道定位 

分 类 号：R684[医药卫生—骨科学]