半腱肌移位与单纯带线锚钉缝合治疗膝内侧副韧带损伤患者的临床观察  

Clinical observation of semitendinosus displacement and single suture anchor in treatment of patients with knee joint medial collateral ligament injury

作　　者：王连波[1] 孙磊[1] 李海鹏[1] 孙虎[1] 安有志 孔志刚[1] 

机构地区：[1]河北医科大学第三医院骨伤科,河北石家庄050000

出　　处：《中国民康医学》2015年第10期10-11,19,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较半腱肌移位与单纯带线锚钉缝合修复内侧副韧带损伤患者的临床效果。方法:选内侧副韧带损伤患者29例,随机将其随机分为两组,重建组(n=14)和缝合组(n=15);重建组患者用半腱肌移位修复内侧副韧带,缝合组患者用单纯锚钉缝合内侧副韧带。结果:术后1年按照改良Lysholm-Scale功能评定标准膝关节功能,缝合组和重建组优良率分别为80%、92.9%,两组患者比较差异有统计学意义,P<0.05。结论:用半腱肌移位修复内侧副韧带损伤优于单纯带线锚钉缝合术。Objective： To compare clinical effects for treatment of the medial collateral ligament injury of knee by autologous semitendinosus transferred to reconstruct and direct suture repair. Methods： 29 cases （29 knees） of injury of knee joint medial collat-eral ligament were randomly divided into suturing group （15 cases, repaired by direct suture） and reconstruction group （14 cases, re-constructed by autologous semitendinosus transferred）. Results： All cases of knee joints functional assessment were evaluated accord-ing to the Lysholm-Scale upgrades function scoring after one year, and the excellent and good rates were 80% （12 / 15） of suturing group and 92. 9% （13 / 14） of reconstruction group. There was a statistically significant difference in the excellent and good rate be-tween the two groups （P〈0. 05）. Conclusions： For treating the injury of knee joint medial collateral ligament, autologous semitendi-nosus transferred to reconstruct is better than direct suture repair.

关 键 词：半腱肌 内侧副韧带 移位 带线锚钉 

分 类 号：R686.5[医药卫生—骨科学]