断端编织减张联合双线铆钉重建膝内侧副韧带的疗效研究  

Efficacy of Broken End Braiding Tension Reduction Combined with Double Rivet on Reconstruction of Knee Medial Collateral Ligament

作　　者：胡建华 匡萃琳[1] 李忠友 张先燎[1] HU Jianhua;KUANG Cuilin;LI Zhongyou;ZHANG Xianliao(Ji’an Central People's Hospital,Jiangxi Province,Ji’an 343000,China)

机构地区：[1]江西省吉安市中心人民医院,江西吉安343000

出　　处：《中国医学创新》2023年第18期62-66,共5页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202312360)。

摘　　要：目的:观察断端编织减张联合双线铆钉重建膝内侧副韧带的临床疗效。方法:选取2020年1月-2022年1月吉安市中心人民医院骨二科收治的膝内侧副韧带损伤患者100例,按照随机数字表法分为对照组(n=50,采取切开原位止点缝合方式)与研究组(n=50,采取断端编织减张联合双线铆钉方式),随访时间为6个月,观察两组膝关节功能、膝关节稳定性、膝关节活动度及手术合并症发生率并比较。结果:术后1、3、6个月,研究组膝关节功能均显著优于对照组,差异均有统计学意义(P<0.05);术后3、6个月,研究组膝关节稳定均显著高于对照组,差异均有统计学意义(P<0.05);术后1、3、6个月,研究组膝关节活动度均显著高于对照组,差异均有统计学意义(P<0.05);术后6个月两组膝关节粘连发生率差异无统计学意义(P>0.05),术后6个月研究组半月板损伤与软骨损伤发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:断端编织减张联合双线铆钉重建膝内侧副韧带的临床疗效更优,可提高患者膝关节功能、稳定性及活动度,减少手术合并症。Objective:To observe the clinical efficacy of broken end braiding tension reduction combined with double rivet on the reconstruction of knee medial collateral ligament.Method:A total of 100 patients with knee medial collateral ligament injury admitted to Second Department of Orthopaedics of Ji’an Central People's Hospital from January 2020 to January 2022 were selected.According to the random number table method,they were divided into the control group(n=50,treated with incision in situ insertion suture)and the study group(n=50,treated with broken end braiding tension reduction combined with double rivet).The follow-up time was 6 months.The knee joint function,knee joint stability,knee joint range of motion and the incidence of surgical complications were observed and compared in the two groups.Result:At 1,3 and 6 months after surgery,the knee joint function of the study group was significantly better than that of the control group,the difference was statistically significant(P<0.05).The knee joint stability of the study group was significantly higher than that of the control group at 3 and 6 months after surgery,the difference was statistically significant(P<0.05).At 1,3 and 6 months after surgery,the knee joint range of motion of the study group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).At 6 months after surgery,there was no statistical difference in incidence of knee joint adhesion between the two groups(P>0.05).At 6 months after surgery,incidences of meniscus damage and cartilage damage in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Broken end braiding tension reduction combined with double rivet has good clinical efficacy on the reconstruction of knee medial collateral ligament,and it can enhance the knee joint function,stability and range of motion,and reduce the surgical complications.

关 键 词：断端编织减张 双线铆钉 内侧副韧带 膝关节功能 

分 类 号：R687.4[医药卫生—骨科学]