自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉重建前交叉韧带  

Anterior cruciate ligament reconstruction with autologous hamstring tendon graft and fixation of Tightrope and Bio-Intrafix

作　　者：杨晓 陈疾忤 高凯 刘少华 许卫东 YANG Xiao;CHEN Ji-wu;GAO Kai;LIU Shao-hua;XU Wei-dong(Dept of Orthopaedics, Deqing People′s Hospital,Huzhou,Zhejiang 313200,China)

机构地区：[1]德清县人民医院骨科,浙江湖州313200 [2]复旦大学附属华山医院运动医学科,上海200040

出　　处：《临床骨科杂志》2019年第3期304-306,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉固定重建前交叉韧带(ACL)的疗效。方法关节镜下自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉治疗58例ACL损伤患者。观察术后患膝功能恢复及并发症发生情况,采用Lysholm、Tegner评分评价患者膝关节功能。结果患者均获得随访,时间24~36(26.92±2.89)个月。术后2年,Lysholm评分由术前45.60分±5.50分提高至92.37分±5.95分(P <0.01);Tegner评分由术前2.10分±1.00分提高至6.61分±0.79分(P <0.01);膝关节活动度由术前93.26°±10.59°提高至135.20°±9.18°(P <0.01)。未出现感染、内固定物松动或断裂、重建韧带断裂等并发症。结论关节镜下自体腘绳肌腱联合Tightrope钢板、Bio-Intrafix螺钉固定重建ACL,术后2年临床效果良好。Objective To investigate the clinical efficacy of anterior cruciate ligament( ACL) reconstruction with autologous hamstring tendon graft fixed with Tightrope and Bio-Intrafix.Methods The 58 patients with ACL injury were treated with arthroscopic reconstruction with autologous hamstring tendon graft and fixed with adjustable Tightrope and Bio-Intrafix.Postoperative recovery of knee function and complications were observed.Lysholm and Tegner scores were used to evaluate the knee function.Results All the 58 patients were followed up for 24 ~ 36( 26.92 ±2.89) months.Two years later,Lysholm score was increased from preoperative( 45.60 ± 5.50) points to( 92.37 ±5.95) points( P < 0.01).Tegner score was increased from preoperative( 2.10 ± 1.00) points to( 6.61 ± 0.79)points( P < 0.01).Knee joint activity was improved from( 93.26°± 10.59°) preoperatively to( 135.20°± 9.18°)( P < 0.01).No infection,loosening or breaking of internal fixation,graft rerupture and other complications existed.Conclusions Arthroscopic ACL reconstruction using autologous hamstring tendon graft with fixation of Tightrope and Bio-Intrafix,the efficacy is better at two years after surgery.

关 键 词：关节镜检查 前交叉韧带重建 自体腘绳肌腱 Tightrope钢板 Bio-Intrafix螺钉 

分 类 号：R686.5[医药卫生—骨科学] R687.2[医药卫生—外科学]