关节镜下应用RigidFix或RigidLoop固定在膝前交叉韧带重建中的临床疗效比较  

Arthroscopic fixation with RigidFix vs.RigidLoop in anterior cruciate ligament reconstruction:A comparative study

作　　者：叶俊星 戴涟生 程飞 杨晓斐 杨志刚 黄辉 徐瑞生 袁凤来 YE Junxing;DAI Liansheng;CHENG Fei;YANG Xiaofei;YANG Zhigang;HUANG Hui;XU Ruisheng;YUAN Fenglai(Department of Orthopedics,the Affiliated Hospital of Jiangnan University,Wuxi 214000,China)

机构地区：[1]江南大学附属医院骨科,江苏无锡214000

出　　处：《实用医学杂志》2022年第4期395-398,共4页The Journal of Practical Medicine

基　　金：江苏省自然科学基金面上项目(编号:BK20191141);新三名后备拔尖人才(编号:HB2020043);无锡市卫健委科研面上项目(编号:M202119)。

摘　　要：目的探讨膝关节镜下使用横穿钉(RigidFix)和可调悬吊钛板(RigidLoop)重建膝关节前交叉韧带(ACL)的临床效果。方法从2016年6月开始,在全关节镜下运用RigidFix或RigidLoop对121例ACL断裂患者进行重建。所有患者随机分成两组,其中,RigidFix组61例,RigidLoop组60例。两组患者术前MRI明确诊断为ACL断裂,RigidFix组与RigidLoop组Lysholm评分比较,差异无统计学意义[(49.5±6.5)vs.(48.9±6.7),P>0.05]。结果对121例患者均进行随访,随访时间为(27.9±3.5)个月。随访结束时,RigidFix组Lysholm评分与RigidLoop组比较,差异无统计学意义[(91.7±3.9)vs.(91.5±3.8),P>0.05];RigidFix组IKDC评分:正常和接近正常58例,不正常2例,严重不正常1例,优良率95.1%;RigidLoop组IKDC评分:正常和接近正常56例,不正常3例,严重不正常1例,优良率93.3%。两组比较差异无统计学意义(P>0.05)。结论使用RigidFix或RigidLoop重建膝关节前交叉韧带,患者的膝关节均可获得解剖学重建和稳定性。Objective To investigate the clinical effects of knee arthroscopic reconstruction of anterior cruciate ligament(ACL)with RigidFix and RigidLoop.Methods From June 2016,121 patients with ACL rupture underwent anterior cruciate ligament reconstruction with Rigidfix or Rigidloop under total arthroscopy.patients They volunteered to be randomly divided into two groups:Rigidfix group(n=61)and Rigidloop group(n=60).The ACL ruptures in the two groups were diagnosed preoperatively by MRI,without significant difference in Lysholm score between the Rigidfix group and Rigidloop group[(49.5±6.5)vs.(48.9±6.7),P>0.05].Results All of the patients were followed up for(27.9±3.5)months.At the end of followup,the Lysholm scores of the Rigidfix and Rigidloop group were(91.7±3.9)and(91.5±3.8),respectively.The IKDC scores of the Rigidfix group were normal and close to normal in 58 cases,abnormal in 2 cases,much more abnormal in 1 case,with an excellent rate of 95.1%,and the IKDC scores of the Rigidloop group were normal and close to normal in 56 cases,abnormal in 3 cases and much more abnormal in 1 case with an excellent rate of 93.3%.There were no significant differences between the two groups(P>0.05).Conclusion Both RigidFix and RigidLoop under total arthroscopy can achieve anatomical reconstruction and stability of knee joints of patients with ACL ruptures.

关 键 词：韧带 关节镜 横穿钉 可调悬吊钛板 

分 类 号：R686.5[医药卫生—骨科学]