比较关节镜下分期与一期修复重建膝关节多发韧带损伤患者的关节功能及预后  

Comparative Study on Joint Function and Prognosis of Patients with Multiple Ligament Knee Injuries Undergoing Arthroscopic Staging and One-stage Repair and Reconstruction

作　　者：王建坤 肖展豪 黄杜军 WANG Jiankun;XIAO Zhanhao;HUANG Dujun(Fuzhou Second General Hospital,Fuzhou,Fujian,350007,China)

机构地区：[1]福州市第二总医院,福建福州350007

出　　处：《中外医疗》2024年第27期22-25,共4页China & Foreign Medical Treatment

基　　金：福建省创伤骨科急救与康复临床医学研究中心(2020Y2014)。

摘　　要：目的比较膝关节多发韧带损伤(multiple ligament knee injuries,MLKI)患者采用关节镜下分期与一期修复重建对关节功能及预后的影响。方法方便选取2020年9月—2023年9月福州市第二总医院收治的98例MLKI患者为研究对象,按照治疗方法不同分为研究组与对照组,各49例。对照组给予关节镜下一期治疗,研究组给予关节镜下分期修复重建治疗,比较两组膝关节功能、膝关节活动度及术后并发症发生情况。结果术后3个月,两组Lysholm评分均高于术前,且研究组高于对照组,差异有统计学意义(P均<0.05)。术后3个月,两组膝关节屈伸、内旋及外旋角度均大于术前,且研究组大于对照组,差异有统计学意义(P均<0.05)。研究组并发症发生率为4.08%(2/49),低于对照组的18.37%(9/49),差异有统计学意义(χ^(2)=5.018,P<0.05)。结论关节镜下分期修复重建应用于MLKI患者中,能够改善膝关节功能,提高膝关节活动度,降低术后并发症发生率。Objective To compare the effects of arthroscopic staging and one-stage repair and reconstruction on joint function and prognosis in patients with multiple ligament knee injuries(MLKI).Methods A total of 98 patients with MLKI admitted to Fuzhou Second General Hospital from September 2020 to September 2023 were conveniently selected as the research objects,and divided into study group and control group according to different treatment methods,with 49 cases in each group.The control group was given one-stage treatment under arthroscopy,and the study group was given staged repair and reconstruction under arthroscopy.The knee joint function,knee joint mobility and incidence of postoperative complications were compared between the two groups.Results At 3 months after operation,the Lysholm scores of the two groups were higher than those before operation,and those of the study group were higher than the control group,the differences were statistically significant(all P<0.05).At 3 months after operation,the knee flexion and extension,internal rotation and external rotation angles of the two groups were greater than those before operation,and those of the study group were greater than the control group,the differences were statistically significant(all P<0.05).The incidence of complications in the study group was 4.08%(2/49),which was lower than 18.37%(9/49)in the control group,and the difference was statistically significant(χ^(2)=5.018,P<0.05).Conclusion The application of arthroscopic staged repair and reconstruction in patients with MLKI can improve knee joint function,improve knee joint mobility,and reduce the incidence of postoperative complications.

关 键 词：关节镜下一期修复重建 关节镜下分期修复重建 关节功能 膝关节多发韧带损伤 预后 

分 类 号：R5[医药卫生—内科学]