关节镜下保留残端重建前交叉韧带的临床效果  

Clinical effect of arthroscopic reconstruction of anterior cruciate ligament with remnant preservation

作　　者：刘春磊[1] 王贵清[1] 邹华[1] 杨立群[1] LIU Chun-lei(Department of Orthopedics,The 6st Affiliated Hospital of the Guangzhou University,Qingyuan 511518,China)

机构地区：[1]广州医科大学附属第六医院骨科一区

出　　处：《牡丹江医学院学报》2019年第3期36-39,共4页Journal of Mudanjiang Medical University

摘　　要：目的 观察关节镜下保留残端重建前交叉韧带的临床效果。方法 选取2014年2月至2016年7月间我院收治的14例外伤性前交叉韧带损伤患者。男10例,女4例;年龄23~47岁,平均(31.2±5.6)岁。致伤原因:交通事故伤3例,运动伤11例。左侧5例,右侧9例。受伤至入院时间6h^2w,平均4d。4例单纯前交叉韧带损伤;2例前交叉韧带损伤合并内侧半月板及内侧副韧带损伤;5例前交叉韧带损伤合并内侧半月板损伤;3例前交叉韧带损伤合并内外侧半月板损伤。14例前抽屉试验均为阳性,Lachman试验++^+++。采用关节镜下保留残端重建前交叉韧带,同时处理关节其他合并症。治疗前及治疗后1、3、6、12个月采用前抽屉试验及Lachman试验对稳定性进行评价,术后1月、3月、6月、12月,采用膝关节Lysholm评分系统评估患者情况。结果 全部患者获得完整随访,平均随访16个月(12~42月)。术后1、3、6、12月前抽屉试验,Lachman试验阴性,术后各时间点与术前膝关节Lysholm评分比较差异有统计学意义( P <0.0.5)。结论 关节镜下保留残端重建前交叉韧带可取得良好临床效果。Objective To observe the clinical effect of arthroscopic reconstruction of anterior cruciate ligament(ACL)with remnant preservation. Methods 14 cases of ACL tear were treated From February 2014 to July 2016 in our hospital,including 10 males and 4 females with an average age of 31.2 years(range,23~47 years).The damages were left knee in 5 cases and right knee in 9 cases.The causes of injury were sports injury in 11 cases,traffic accident injury in 3 cases.The average time from injury to hospitalization was 4 days(range,6 hours to 2 weeks ).Anterior cruciate ligament(ACL)were involved in 4 cases;ACL,medial meniscus and medial collateral ligament(MCL)were involved in 2 cases;ACL,medial meniscus and lateral meniscus in 3 cases;ACL and medial meniscus in 5 cases;All knees showed positive in the anterior drawer test and ++ to +++ in Lachman test.ACL reconstruction was performed under arthroscopy with remnant cuff preseration and complications was repaired at the same time.The stability of keen was assessed by anterior drawer test and Lachman test.The evaluation of knee function was taken with Lysholm score system in 1.3.6.12 months after postoperatively. Results All the cases were followed-up with mean time 16 months(12 to 42 months).The stability tests of all cases were negative postoperatively.There was statistical difference in the evaluation of knee function in the preoperative and 1,3,6,12 months after operation( P <0.05). Conclusion Arthroscopic reconstruction of anterior cruciate ligament with remnant preservation could restore the stability of keen.

关 键 词：前交叉韧带 膝关节 关节镜 修复重建 

分 类 号：R686.5[医药卫生—骨科学] R684.7[医药卫生—外科学]