关节镜下ACL保留与不保留残端重建术对膝关节ACL断裂者的疗效  

Effects of Arthroscopic ACL Retention and Non-Retention Reconstruction on Patients with Knee ACL Rupture

作　　者：戴磊 DAI Lei(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 463000,China)

机构地区：[1]郑州大学第一附属医院骨科,河南郑州463000

出　　处：《河南医学研究》2025年第2期244-248,共5页Henan Medical Research

摘　　要：目的分析关节镜下前交叉韧带(ACL)保留与不保留残端重建术于膝关节ACL断裂患者中的效果。方法前瞻性收集郑州大学第一附属医院2021年9月至2023年3月收治且确诊为膝关节ACL断裂患者122例作研究对象,依据随机数字表法分成两组,其中61例行关节镜下ACL保留残端重建术作保留组,另61例行关节镜下ACL不保留残端重建组作不保留组,对比两组并发症状况以及术前、术后膝关节功能[Lysholm评分、国际膝关节文献委员会(IKDC)]、膝关节稳定性(KT-2000评分)、本体感觉[被动角度重复试验、被动活动察觉阈值(TTDPM)]。结果术后3个月、6个月,较不保留组,保留组Lysholm评分、IKDC评分、KT-2000评分较高(P<0.05);较不保留组,保留组术后3个月、6个月被动角度重复试验结果、TTDPM较小(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论关节镜下ACL保留残端重建术治疗膝关节ACL断裂者,可促进关节功能、稳定性恢复,增强本体感觉,且安全性高。Objective To analyze the effect of arthroscopic anterior cruciate ligament(ACL)reconstruction and non-retention stump reconstruction in patients with knee ACL rupture.Methods A prospective study was conducted to collect 122 patients with confirmed ACL rupture of the knee joint admitted to the First Affiliated Hospital of Zhengzhou University from September 2021 to March 2023 as research subjects.They were randomly divided into two groups according to a random number table method,61 patients underwent arthroscopic ACL retention reconstruction as retention group,and 61 patients underwent arthroscopic ACL retention without ACL retention reconstruction as non-retention group.Complications were compared between the two groups,as well as preoperative and postoperative knee function[Lysholm score,International Knee Documentation Committee(IKDC)],knee stability(KT-2000 score),proprioception[passive angle repeat test,threshold to detection of passive motion(TTDPM)].Results At 3 and 6 months after operation,Lysholm score,IKDC score and KT-2000 score in the retention group were higher than those in the non-retention group(P<0.05).Compared with the non-retention group,the passive angle repeated test results and TTDPM were smaller in the retention group at 3 months and 6 months after surgery(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Arthroscopic ACL retention reconstruction can promote the recovery of joint function,stability,proprioception and high safety in the treatment of knee ACL fracture.

关 键 词：膝关节 前交叉韧带断裂 重建 残端 关节镜 

分 类 号：R684[医药卫生—骨科学]