23例前交叉韧带重建失效关节镜下翻修治疗的经验及危险因素分析  

Experience of 23 Cases of Anterior Cruciate Ligament Reconstruction Failure under Arthroscopic Revision

作　　者：周开磊 张克远[1] 李纲[1] 孙学斌[1] 尼加提·阿不力米提[1] 刘阳[1] ZHOU Kai-lei;ZHANG Ke-yuan;LI Gang;SUN Xue-bin;Nijiati Abulimiti;LIU Yang(Department of Sports Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830000 China)

机构地区：[1]新疆医科大学第一附属医院运动损伤科,新疆乌鲁木齐830000

出　　处：《中外医疗》2020年第6期70-72,共3页China & Foreign Medical Treatment

摘　　要：目的探讨23例前交叉韧带(Anterior Cruciate ligament,ACL)重建失效后关节镜下翻修治疗经验及体会。方法方便收集23例新疆医科大学第一附属医院运动医学科2013年7月-2018年6月诊治的ACL重建失效关节镜下首次翻修治疗患者。均在关节镜下行ACL单束重建;移植物选用自体腘绳肌腱或同种异体韧带。术后患者随访时采用前抽屉试验(Drawer test)、Lysholm、IKDC(国际文献委员会评分)及Tegner评分表进行评估。结果 23例患者翻修术后随访13~36(平均20.3)个月。末次随访前抽屉试验:术前(6.83±0.58)mm、术后末次随访(2.09±0.31)mm,(t=34.63,P<0.001);Lysholm评分:术前(46.43±3.15)分、术后末次随访(84.30±2.05)分,(t=-48.34,P<0.001);IKDC术前:(45.65±2.59)分、术后末次随访(74.65±2.23)分,(t=-40.74,P<0.001);Tegner评分:术前:(2.00±0.80)分、术后末次随访(6.13±0.69)分,(t=-18.73,P<0.001),均差异有统计学意义。结论 ACL重建失效后行翻修治疗是有效的治疗方式。Objective To investigate the experience of 23 cases of ACL(Anterior Cruciate ligament) reconstruction after arthroscopic revision. Methods Convenient select Twenty-three cases of the department of sports medicine, the first affiliated hospital of Xinjiang medical university were collected. The ACL reconstruction from July 2013 to June 2018 was the first revision of the patients under laparoscopic failure. All patients underwent the same procedure. Postoperative patient follow-up was assessed using the front drawer test, Lysholm, IKDC, and Tegner score sheets. Results Twenty-three patients were followed up for 13 to 36(mean 20.3) months after revision. Drawer test before the last follow-up: preoperative(6.83±0.58) mm, last follow-up(2.09±0.31) mm,(t=34.63, P<0.001);Lysholm score: preoperative(46.43±3.15), the last follow-up(84.30±2.05) points,(t=-48.34, P<0.001);IKDC preoperative:(45.65±2.59) points, postoperative follow-up(74.65±2.23)points,(t=-40.74, P<0.001);Tegner score: preoperative:(2.00 ± 0.80) points, the last follow-up(6.13 ± 0.69) points,(t=-18.73, P<0.001), the difference was statistically significant. Conclusion Renovation after ACL reconstruction is an effective treatment.

关 键 词：前交叉韧带 关节镜 重建失效 翻修 

分 类 号：R686.5[医药卫生—骨科学]