广泛性关节松弛以及两种移植物对前交叉韧带重建疗效的影响  

Influence of generalized joint laxity joint and two types of grafts on the efficacy of anterior cruciate ligament reconstruction

作　　者：陈如康 徐斌[1] 王高远[1] 张瀚元[1] Chen Rukang;Xu Bin;Wang Gaoyuan(Dept of Sports Trauma and Arthroscopic Surgery,The First Affiliated Hospital of Anhui Medical University,Hefei 230022)

机构地区：[1]安徽医科大学第一附属医院骨科运动创伤与关节镜外科,合肥230022

出　　处：《安徽医科大学学报》2021年第7期1156-1159,共4页Acta Universitatis Medicinalis Anhui

基　　金：安徽省自然科学基金(编号:1808085MH243)。

摘　　要：研究广泛性关节松弛(GJL)以及两种移植物(自体腘绳肌腱和同种异体肌腱)对前交叉韧带(ACL)重建疗效的影响。将接受ACL重建术的138例患者随访24~36个月,根据Beighton评分标准以及所用移植物类型将接受ACL重建术的138例患者分为4个研究组。术前、术后进行膝关节功能评估,评估内容包括KT-2000检查,IKDC主观评分和Lysholm膝关节评分。术后2~3年随访结果显示,在GJL患者中,接受自体腘绳肌腱移植的疗效较接受同种异体肌腱移植的差,并且随着时间推移,无论选用何种移植物,GJL患者的疗效较非GJL患者差。建议合并GJL的ACL损伤患者使用同种异体肌腱作为移植物。To investigate the effect of generalized joint laxity(GJL)and two types of grafts(autologous hamstring tendon and allograft tendon)on anterior cruciate ligament(ACL)reconstruction.138 patients with ACL reconstruction were followed up for 24-36 months.Four study groups were divided according to the Beighton score and the type of graft used from 138 patients who received ACL reconstruction.Preoperative and postoperative knee joint function assessment was conducted,including KT-2000 examination,IKDC subjective score and Lysholm knee joint score.Follow-up results of 2 to 3 years after surgery showed that in patients with GJL,the efficacy of autologous hamstring tendon transplantation was worse than that of allograft tendon transplantation,and over time,patients with GJL had a worse prognosis than those without GJL,regardless of which graft was selected.As a conclusion,Allograft tendons are recommended for ACL injury patients with GJL.

关 键 词：前交叉韧带重建 广泛性关节松弛 自体腘绳肌腱 同种异体肌腱 

分 类 号：R686.5[医药卫生—骨科学]