前交叉韧带重建术股骨侧定位“理想点”等张重建的临床效果研究  

The Clinical Effect of“I.D.E.A.L Point”Isotonic Reconstruction for Femoral Side Positioning in Anterior Cruciate Ligament Reconstruction

作　　者：郭帅 唐述森[2] Guo Shuai;Tang Shusen(Weifang Medical College,Weifang 261071,China;Orthopedics Department,Fuyanshan Branch,Affiliated Hospital of Weifang Medical College,Weifang 261000,China)

机构地区：[1]潍坊医学院,山东潍坊261071 [2]潍坊医学院附属医院浮烟山院区骨科,山东潍坊261000

出　　处：《实用骨科杂志》2023年第8期689-693,共5页Journal of Practical Orthopaedics

基　　金：山东省医药卫生科技发展计划项目(202004070430)。

摘　　要：目的探究前交叉韧带重建术(anterior cruciate ligament reconstruction,ACLR)股骨侧定位“理想点”等张重建的临床效果,以期为临床ACLR手术方案提供依据。方法本研究为回顾性病例对照研究,以自2020年1月至2022年10月收入潍坊医学院附属医院浮烟山院区骨科的98例符合条件的前交叉韧带损伤患者为研究对象,根据股骨侧定位的不同,将入组的患者分成两组。对照组42例患者,男22例,女20例;年龄19~31岁,平均(25.34±5.93)岁;选择过顶位(Over-the-top)股骨侧定位方案;观察组56例患者,男26例,女30例;年龄20~32岁,平均(26.14±6.05)岁;选择“理想点”股骨侧定位方案。统计两组患者的一般基准资料,收集手术相关资料,利用视觉模拟评分法(visual analogue scale,VAS)和疼痛程度数字评估量表(numerical rating scale,NRS)评估患者膝关节疼痛情况,利用国际膝关节文献委员会(international knee documentation committee,IKDC)评分系统和Lyshlom评分系统评估患肢膝关节功能情况,统计术后相关并发症。结果两组患者的一般资料包括年龄、性别、身高、体重、身体质量指数(body mass index,BMI)、受伤原因、患肢和韧带断裂位置比较差异无统计学意义(P>0.05)。术后1 d和术后1个月的膝关节疼痛评分比较中,观察组患者的VAS评分和NRS评分要明显低于对照组,差异有统计学意义(P<0.05)。术后1 d和术后1个月的膝关节功能比较中,观察组患者的IKDC评分和Lyshlom评分要明显高于对照组,差异有统计学意义(P<0.05)。观察组术后晚期并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论股骨侧“理想点”定位行ACLR手术可以取得更佳的术后早期效果,降低术后疼痛,晚期并发症发生率低。Objective To explore the clinical effect of“ideal point”isotonic reconstruction of the femoral side of anterior cruciate ligament reconstruction(ACLR),in order to provide a basis for the clinical operation of ACLR.Methods This study was a retrospective case-control study.The 98 eligible patients with anterior cruciate ligament injury who were admitted to the Department of Orthopaedics of Fuyanshan Hospital of The Affiliated Hospital of Weifang Medical University from January 2020 to October 2022 were Studied.According to the different femoral lateral positioning,the patients were divided into two groups.There were 42 patients in the control group with 22 males and 20 females.The patients aged 19~31 years,with an average age of(25.34±5.93)years.The femoral lateral positioning plan in the over the top position was chosen.The observation group consisted of 56 patients,including 26 males and 30 females.The age of patients was 20 to 32 years,with an average age of(26.14±6.05)years.The Isometric,Direct inserted,Eccentrically located and Anatomical perfect with Low tension(I.D.E.A.L)site for femoral lateral localization was chosen.The general baseline data of the two groups of patients were collected,and the surgery related data were collected.The knee joint pain of the patients was evaluated using the visual analogue scale(VAS)and the numerical rating scale(NRS),and the knee joint function of the affected limb was evaluated using the international knee documentation committee(IKDC)scoring system and the Lyshlom scoring system,The postoperative complications were counted.Results There was no statistically significant difference in the general data of the two groups,including age,sex,height,weight,BMI,cause of injury,location of broken limb and ligament(P>0.05).The VAS score and NRS score of the patients in the observation group were significantly lower than those in the control group in the comparison of knee joint pain scores 1 day and 1 month after operation(P<0.05).In the comparison of knee joint function one d

关 键 词：前交叉韧带 重建 股骨侧定位 并发症 

分 类 号：R684[医药卫生—骨科学]