关节镜下自体腓骨长肌腱与腘绳肌腱单束重建前交叉韧带术治疗前交叉韧带损伤患者的效果比较  

Comparison of effects of arthroscopic autologous peroneal longus tendon and hamstring tendon single-bundle reconstruction of anterior cruciate ligament in treatment of patients with anterior cruciate ligament injuries

作　　者：吴霄 WU Xiao(Department of Lower Limb Orthopedics of Zhengzhou Orthopaedic Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市骨科医院下肢骨科,河南郑州450000

出　　处：《中国民康医学》2022年第18期165-167,183,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较关节镜下自体腓骨长肌腱(APLT)与腘绳肌腱(HT)单束重建前交叉韧带术治疗前交叉韧带(ACL)损伤患者的效果。方法:回顾性分析2018年10月至2020年12月该院收治的86例ACL损伤患者的临床资料,根据手术方式不同将其分为观察组与对照组各43例。观察组采用自体APLT单束重建ACL术治疗,对照组采用自体HT单束重建ACL术治疗,比较两组手术相关指标水平,术前、术后12个月膝关节功能(Lysholm)评分、踝关节功能[美国矫形外科足踝协会足功能评分系统(AOFAS)]评分、患健侧大腿周径差值,以及并发症发生率。结果:两组完全负重时间、住院时间比较,差异无统计学意义(P>0.05);观察组手术时间短于对照组,差异有统计学意义(P<0.05);术后12个月,两组Lysholm评分均高于术前,但组间比较,差异无统计学意义(P>0.05);术前及术后12个月,两组AOFAS评分比较,差异无统计学意义(P>0.05);术后12个月,观察组患健侧大腿周径差值小于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:自体APLT单束重建治疗ACL损伤患者可降低患健侧大腿周径差值和并发症发生率,其效果优于自体HT单束重建治疗。Objective:To compare effects of arthroscopic autologous peroneal longus tendon(APLT)and hamstring tendon(HT)singlebundle reconstruction of anterior cruciate ligament(ACL)in treatment of patients with anterior cruciate ligament injuries.Methods:The clinical data of 86 patients with ACL injuries admitted to this hospital from October 2018 to December 2020 were retrospectively analyzed,and they were divided into observation group and control group according to different surgical methods,43 cases in each.The observation group was treated with autologous APLT single-bundle ACL reconstruction,while the control group was treated with autologous HT single-bundle ACL reconstruction.The levels of surgery-related indicators,the knee function(Lysholm)score,the ankle function[American orthopaedic foot and ankle society scoring system(AOFAS)]score before and 12 months after the surgery,the thigh circumference on the affected side,and the incidence of complications were compared between the two groups.Results:There were no significant differences in the time of complete weight-bearing and the hospitalization time between the two groups(P>0.05).The operation time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).12 months after the surgery,the Lysholm scores in both groups were higher than those before the surgery,but there was no significant difference between the two groups(P>0.05).There were no significant differences in the AOFAS score between the two groups before and 12 months after the surgery(P>0.05).12 months after the surgery,the difference in the thigh circumference on the affected side of the observation group was smaller than that of the control group,and the difference was statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Autologous APLT single-bundle reconstruction for the ACL patients

关 键 词：前交叉韧带 单束重建 自体腘绳肌腱 自体腓骨长肌腱 膝关节功能 大腿周径 并发症 

分 类 号：R687[医药卫生—骨科学]