Ridigfix与Intrafix组合固定自体半腱肌加股薄肌重建前交叉韧带  

Reconstruction of anterior cruciate ligament with autologous semitendinous and gracilis fixed by Ridigfix and Intrafix combination

作　　者：梁清宇 陈先进 张道平 

机构地区：[1]芜湖市中医院骨科,安徽芜湖241000

出　　处：《临床骨科杂志》2015年第2期204-206,共3页Journal of Clinical Orthopaedics

基　　金：芜湖市科技局科研计划项目(编号:2011卫生10)

摘　　要：目的探讨使用Ridigfix与Intrafix组合固定自体半腱肌加股薄肌重建前交叉韧带（ACL）的意义。方法对56例ACL损伤患者在关节镜下使用Ridigfix与Intrafix组合固定自体半腱肌加股薄肌重建ACL,观察术前、术后Lysholm膝关节功能评分。结果术后患者伤口均Ⅰ期愈合,术后无感染、韧带断裂、韧带松动等并发症。56例患者均获随访,时间6~48个月。参照敖英芳临床判断标准：优40例,良10例,可6例,优良率89.3%。Lysholm评分术前40.57分±8.78分,术后90.35分±3.13分,差异有统计学意义（P〈0.05）。结论关节镜下应用Ridigfix与Intrafix组合固定自体半腱肌加股薄肌重建ACL效果良好。Objective To explore the practical significance and effects of anterior cruciate ligament reconstruction with autologous semitendinosus and gracilis fixed by Ridigfix and Intrafix combination. Methods Fifty-six patients with anterior cruciate ligament injury underwent arthroscopic anterior cruciate ligament reconstruction with autologous semitendinosus and gracilis fixed by Ridigfix and Intrafix combination. All cases were evaluated with Lysholm scoring system. Results All cases was healed by first intention without severe complication such as infection,transplanted ligament rupture and implant loosing. All the patients were available at follow-up,the follow-up time was from 6months to 48 months. The results were evaluated according to the AO Ying-fang grading system,excellent in 40 cases,good in 10 and fair in 6,the excellent-good rate was 89. 3%. Lysholm scores by preoperative 40. 57 ± 8. 78 points increased up to 90. 35 ± 3. 13 points 3 months after surgery,there was significant difference（ P〈0. 05）. Conclusions Reconstruction with autologous semitendinous and gracilis fixed by Ridigfix and Intrafix is an effective treatment of the anterior cruciate ligament injury.

关 键 词：前交叉韧带重建 自体肌腱 组合固定 关节镜检查 

分 类 号：R687.2[医药卫生—骨科学] R687.4[医药卫生—外科学]