关节镜下前十字韧带重建术后膝关节轴移与关节功能的关系  

Relationship between Knee Joint Axial Displacement and Joint Function after Anterior Cruciate Ligament Reconstruction Under Arthroscopy

作　　者：黄榆顺 李恩超 薛梓尧 程飚 HUANG Yushun;LI Enchao;XUE Ziyao;CHENG Biao(Jen Ching Memorial Hospital,Kunshan City,Kunshan 215300,China;不详)

机构地区：[1]昆山宗仁卿纪念医院,江苏昆山215300 [2]上海第十人民医院

出　　处：《中外医学研究》2022年第10期21-25,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨关节镜下前十字韧带(ACL)重建术后膝关节轴移与关节功能的关系。方法:选取2015年1月-2018年9月昆山宗仁卿纪念医院行关节镜下ACL重建术的80例ACL撕裂患者。所有患者行关节镜下自体腘绳肌肌腱ACL重建术。分析术后6、12、36个月患者膝关节轴移分度、膝关节功能、膝关节活动度。比较不同轴移分度患者术后6、12、36个月膝关节功能及活动度。分析膝关节轴移分度与Lysholm、国际文献膝关节委员会膝关节评估表(IKDC)评分及KT-1000侧-侧差值的关系。结果:术后12、36个月膝关节轴移分度明显优于术后6个月(P<0.05),术后36个月膝关节轴移分度明显优于术后12个月(P<0.05)。与术后6个月比较,术后12、36个月患者Lysholm、IKDC评分均较高(P<0.05),KT-1000侧-侧差值均低(P<0.05);与术后12个月比较,术后36个月患者Lysholm、IKDC评分均高(P<0.05),KT-1000侧-侧差值低(P<0.05)。术后6、12、36个月,高度轴移患者的Lysholm、IKDC评分均明显低于低度轴移患者(P<0.05),KT-1000侧-侧差值均明显高于低度轴移患者(P<0.05)。膝关节轴移分度与Lysholm、IKDC评分呈明显负相关(P<0.05);膝关节轴移分度与KT-1000侧-侧差值呈明显正相关(P<0.05)。结论:ACL重建术后低度轴移患者的膝关节关节功能明显优于高度轴移患者,膝关节轴移分度与关节功能存在明显相关性。Objective:To investigate the relationship between knee joint axial displacement and joint function after anterior cruciate ligament(ACL)reconstruction under arthroscopy.Method:Eighty patients with ACL tears who underwent ACL reconstruction under arthroscopy in Jen Ching Memorial Hospital from January 2015 to September 2018 were selected.All patients underwent ACL reconstruction under arthroscopy with autologous hamstring tendon.The knee joint axial displacement,knee function and knee range of motion were analyzed 6,12 and 36 months after operation.The knee function and range of motion of patients with different degrees of axial displacement were compared 6,12 and 36 months after operation.The relationship between the knee joint axial displacement and Lysholm,the international knee documentation committee knee evaluation form(IKDC)score and KT-1000 side to side difference was analyzed.Result:The degree of knee joint axial displacement at 12 and 36 months after operation was significantly better than that at 6 months after operation(P<0.05),and the degree of knee joint axial displacement at 36 months after operation was significantly better than that at 12 months after operation(P<0.05).Compared with 6 months after operation,Lysholm and IKDC scores of patients were higher at 12 and 36 months after operation(P<0.05),and KT-1000 side to side difference was lower(P<0.05);compared with 12 months after operation,Lysholm and IKDC scores of patients were higher at 36 months after operation(P<0.05),and KT-1000 side to side difference was lower(P<0.05).At 6,12 and 36 months after operation,the Lysholm and IKDC scores of patients with high axial displacement were significantly lower than those of patients with low axial displacement(P<0.05),and the KT-1000 side to side difference was significantly higher than that of patients with low axial displacement(P<0.05).There were significant negative correlations between the degree of knee joint axial displacement and Lysholm and IKDC scores(P<0.05);there was significant positive co

关 键 词：前十字韧带 关节镜下重建术 膝关节轴移 关节功能 

分 类 号：R687.4[医药卫生—骨科学]