关节镜下自体半腱肌腱重建膝关节前交叉韧带  

Arthroscopic Reconstruction of Anterior Cruciate Ligaments in Knee Joints with Autologous Triple-stranded Semitendinous Tendon

作　　者：陈游 孙材江 王万春 张薇 李菊元 CHEN You, SHUN Cai jiang, WANG Wan chun,et al (Department of Orthopedic Surgery, The Second Xiangya Hospital of Central South University, Changsha 410011,china)

机构地区：中南大学湘雅二医院,中国湖南,长沙,410011

出　　处：《湖南医学》2002年第1期1-3,共3页Hunan Medical Journal

摘　　要：目的探讨关节镜下自体半腱肌腱重建膝关节前交叉韧带的临床疗效.方法经临床及膝关节镜检查诊断的膝前交叉韧带(ACL)损伤患者18例, 男10例,女8例,平均年龄24.75(18～45)岁,确诊后即取自体半腱肌,在镜视下行等长重建 ,两端分别用螺钉固定于股骨下端及胫骨上端悬吊固定.术后配合石膏固定4周.结果术后平均随访7.2(3～14)月,临床效果优良者15例.Lysholm膝部评分术前32.6±12.3,术后82.2±11.7(P<0.01).结论关节镜下自体三股半腱肌重建ACL手术创伤小,效果良好.还可同时对关节内其他合并症进行诊断及手术,值得临床推广应用.ObjectiveTo explore the therapeutic efficacy in arthroscopic reconstruction of anterior cruciate ligament (ACL) with autologous triple-stranded semitendinous tendon (ST) and screws. MethodsEighteen cases with ruptures of ACLs were diagnosed by clinical and arthroscopic examination. They were 10 males and 8 females with an average age of 24.75 yrs (18～45 yrs). Twelve cases were reconstructed arthroscopically with autologous triple-stranded ST and 6 cases with autologous double stranded ST. One proximal end of the graft was fixed to a screw in the femur and its distal end to a screw in the tibia near the tunnel. Plaster splints were used for four weeks after operation. ResultsPatients were followed up averagely for 7.2 months (3～14 months). Excellent or good results were observed in 15 cases. Lysholm knee scores were 32.6123 preoperatively and 82.2117 postoperatively (P<0.01). ConclusionsArthroscopic reconstruction of ACL with autologous triple-stranded ST may be one of the excellent methods bringing less injuries and worthy of clinical application.

关 键 词：膝前交叉韧带损伤 关节镜 自体半腱肌腱 膝关节前交叉韧带重建 自体移植 

分 类 号：R687.2[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]