前交叉韧带股骨止点损伤原位缝合袢钢板悬吊固定术的中期随访评价  

Mid-term follow-up evaluation of arthroscopic in situ suture repair through Endobutton suspension fixation for partial injury of anterior cruciate ligament

作　　者：王江涛 步建立 安明扬 朱娟丽 李春宝 刘玉杰 WANG Jiang-tao;BU Jian-li;AN Ming-yang;ZHU Juan-li;LI Chun-bao;LIU Yu-jie(Department of Orthopaedics,the Fourth Medical Center of Chinese PLA General Hospital,Beijing 100853,China;the First Department of Orthopaedics,the 980th Hospital of PLA Joint Logistics Support Forces,Hebei Province,Shijiazhuang 050000,China)

机构地区：[1]中国人民解放军总医院第四医学中心骨科,北京100853 [2]中国人民解放军联勤保障部队第九八〇医院骨一科,河北石家庄050082

出　　处：《河北医科大学学报》2022年第12期1402-1406,共5页Journal of Hebei Medical University

基　　金：国家自然科学基金面上项目(82072517)。

摘　　要：目的探讨关节镜下前交叉韧带止点原位缝合袢钢板悬吊固定治疗前交叉韧带部分损伤的临床疗效。方法选取前交叉韧带部分损伤患者38例,均采用关节镜下前交叉韧带止点原位缝合袢钢板悬吊固定术治疗。术前后采用前抽屉试验、Lachman试验评价膝关节稳定性。采用Lysholm评分和国际膝关节文献委员会(International Knee Documentation Committee,IKDC)评分评价膝关节功能,采用李克特(Likert)五级评分评价患者满意度。结果手术时间50~110 min,平均(65.08±13.67)min。各组术后伤口均Ⅰ期愈合,无血管神经损伤、关节感染等并发症发生。所有患者均获随访,随访时间2.1~5.6年,平均(3.10±0.89)年。末次随访时,患者Lachman试验Ⅰ度阳性、前抽屉试验阴性2例,其余患者前抽屉试验、Lachman试验均阴性。膝关节Lysholm评分和IKDC评分均较术前显著改善(P<0.05)。患者满意度评价获非常满意16例,比较满意20例,一般2例,总体满意度94.7%。结论采用关节镜下前交叉韧带止点原位缝合袢钢板悬吊固定修复ACL部分损伤可以有效恢复膝关节功能和稳定性,中期临床效果良好。Objective To investigate the clinical effectiveness of arthroscopic in situ suture repair through Endobutton suspension fixation for partial injury of anterior cruciate ligament(ACL).Methods Thirty-eight patients with ACL partial injury were treated by arthroscopic in situ suture repair through Endobutton suspension fixation.The pre-and post-operative evaluation of knee stability was performed using anterior drawer test and Lachman test.Lysholm score and the international knee documentation committee(IKDC)score were used for assessment of knee function,and Likert five-level scale was used for postoperative patient satisfaction.Results The average duration of operation was(65.08±13.67)min.All patients achieved one-stage healing of incision,and no complications were reported,such as vascular injury,nerve damage and articular infect.All patients were followed up,and the duration ranged from 2.1 to 5.6 years,with an average of(3.10±0.89)years.At the last follow-up,Lachman test was degreeⅠpositive and anterior drawer test was negative in two patients.The other cases were negative for Lachman test and anterior drawer test.The Lysholm score and IKDC score were increased compared with those before operation(P<0.05).For the evaluation of patient satisfaction,16 cases were very satisfied,20 cases were relatively satisfied,and 2 case was satisfied.The total patient satisfaction rate was 94.7%.Conclusion The arthroscopic in situ suture repair through Endobutton suspension fixation for ACL partial injury can effectively restore the function and stability of the knee joint,and can yield good mid-term clinical results.

关 键 词：前交叉韧带损伤 膝关节 缝合修复 

分 类 号：R684.76[医药卫生—骨科学]