股骨椭圆隧道技术对膝关节前交叉韧带重建后膝关节功能、滑膜覆盖与张力程度的影响  

Effects of femoral tunnel techniques on knee function, synovial coverage and tension after anterior cruciate ligament reconstruction

作　　者：吴鹏 姬振伟 王志学 冯重阳 刘永明 WU Peng;JI Zhen-wei;WANG Zhi-xue(Department of Orthopedics,Tangdu Hospital,Air Force Military Medical University,Xi'an Shaanxi 710038,China)

机构地区：[1]空军军医大学附属唐都医院骨科,陕西西安710038

出　　处：《临床和实验医学杂志》2022年第6期625-628,共4页Journal of Clinical and Experimental Medicine

基　　金：陕西省重点研发计划项目(编号:2020SF094)。

摘　　要：目的分析股骨椭圆隧道技术对膝关节前交叉韧带重建后膝关节功能、滑膜覆盖与张力程度的影响。方法前瞻性选取2019年2月至2020年2月空军军医大学附属唐都医院骨科诊治的104例前交叉韧带损伤患者作为研究对象,采用随机数字表法将其分为对照组(圆隧道技术制备股骨隧道,n=52)与研究组(椭圆隧道技术制备股骨隧道,n=52)。比较两组术前及术后6、12个月的膝关节功能、前交叉韧带移植物信号/噪声比(SNQ)及前交叉韧带移植物滑膜覆盖情况和张力情况。结果术后6、12个月,两组Lysholm、IKDC评分较术前升高,且研究组Lysholm、IKDC评分较对照组升高,差异均有统计学意义(P<0.05)。术后6、12个月,研究组近端、中段、远端SNQ较对照组降低,差异均有统计学意义(P<0.05)。研究组术后移植物滑膜覆盖情况较对照组更好,差异有统计学意义(P<0.05)。研究组术后移植物张力情况优于对照组,差异有统计学意义(P<0.05)。结论膝关节前交叉韧带重建术中采用椭圆隧道技术制备股骨隧道较圆隧道技术,术后移植物成熟度、滑膜覆盖、张力更好,患者膝关节功能恢复更好。Objective To investigate the effects of femoral tunneling technique on knee function,synovial coverage and tension after anterior cruciate ligament reconstruction.Methods A sample of 104 patients with anterior cruciate ligament injury in Department of Orthopaedics,Tangdu Hospital,Air Force Military Medical University from February 2019 to February 2020 were prospectively selected,and divided into two groups used random number table method,52 cases in each group.The control group received femoral round tunnel technique,while the study group received femoral oval tunnel technique.The knee function,signal/noise quotient(SNQ),synovial coverage and tension of grafts at the baseline and 6 months and 12 months after surgery were compared.Results At postoperative 6 and 12 months,the Lysholm score and International Knee Documentation Committee(IKDC)score were significantly increased in two groups compared with baseline data,and the scores were significantly higher in study group than in control group,the differences were statistically significant(P<0.05).SNQ of the proximal,middle and distal grafts were significantly lower in study group than in control group at postoperative 6 and 12 months,the differences were statistically significant(P<0.05).The postoperative synovial coverage of the graft in the study group was better than that in the control group,and the difference was statistically significant(P<0.05).The postoperative graft tension in the study group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with femoral round tunnel technique,application of femoral oval tunnel technique in anterior cruciate ligament reconstruction achieves better outcomes in terms of graft maturity,synovial coverage,tension and knee functional recovery.

关 键 词：股骨椭圆隧道技术 股骨圆隧道技术 膝关节 前交叉韧带 重建 膝关节功能 移植物滑膜覆盖 

分 类 号：R687.4[医药卫生—骨科学]