关节镜下中1/3髌腱移植重建膝后十字韧带  

Arthroscopic reconstruction of the posterior cruciate ligament using middle one third of patellar tendon graft

作　　者：滕学仁[1] 丁利琼[1] 

机构地区：[1]青岛大学医学院附属青岛市立医院骨科,266011

出　　处：《中华骨科杂志》2001年第10期589-592,共4页Chinese Journal of Orthopaedics

摘　　要：目的关节镜下应用中1/3髌腱移植重建后十字韧带,评估其近期临床治疗效果。方法采用骨-中1/3髌腱-骨组织移植重建膝关节后十字韧带,用于治疗后十字韧带损伤后关节不稳定。手术在关节镜下经前方入路完成。结果12例患者平均随访17.3个月。Larson评分由术前60.7分提高到93.4分,Lysholm评分由术前55.0分提高到91.6分。所有患膝术前后抽屉试验及Lachman试验均阳性,术后仅2例后抽屉试验弱阳性、1例Lachman试验弱阳性。结论在关节镜直视下,能准确定位后十字韧带解剖止点,钻制骨隧道,植入移植组织。该技术具有不切开关节囊,损伤小、关节粘连率低的优点。Objective To evaluate the clinical results of reconstruction of the posterior cruciate ligament by implanting the middle one third of patellar tendon graft under arthroscope. Methods Twelve patients with the posterior cruciate ligament injury reconstructed with middle one third of bone-patellar tendon-bone graft through an anterior approach under arthroscope were reviewed. Results The average follow up period was 17.3 months. The Larson score rose from 60.7 points to 93.4 points. The Lysholm score rose from 55.0 points to 91.6 points. All patients had positive posterior drawer test and positive Lachman test preoperatively,while only 2 patients had slight positive posterior drawer test and one had slight positive Lachman test at the latest follow up study. Conclusion Under direct visulization of arthroscope, one can accurately locate the anatomic insertion of the PCL, drill holes and transplant tissue grafts. Without capsulular incision, this technique has the advantages of less trauma and lower incidence of adhesion.

关 键 词：后交叉韧带 髌韧带 自体移植 髌腱移植 关节镜 韧带重建 膝关节 PCL 

分 类 号：R687.1[医药卫生—骨科学]