经取腱切口定位和经前内侧定位在前十字韧带重建术中的应用效果  

Application effects of tendon incision localization and anterior medial localization in anterior cruciate ligament reconstruction

作　　者：鲁军伟 韩帅 贺利军 陈安强 LU Jun-wei;HAN Shuai;HE Li-jun;CHEN An-qiang(Department of Orthopedics,1.Xi'an No.5 Hospital,Xi'an 710000;Xi'an Gaoling Hospital,Xi'an 710200;Xi'an Qinhuang Hospital,Xi'an 710600,Shaanxi,China)

机构地区：[1]西安市第五医院骨科,陕西西安710000 [2]西安市高陵区医院骨科,陕西西安710200 [3]西安秦皇医院骨科,陕西西安710600

出　　处：《川北医学院学报》2025年第3期294-297,共4页Journal of North Sichuan Medical College

基　　金：陕西省科技厅重点科研项目(2022SF-266)。

摘　　要：目的:探讨经取腱切口定位(TI)和经前内侧定位(AM)在前十字韧带损伤(ACL)重建术中的疗效。方法:选取129例行关节镜下ACL重建术的患者为研究对象,根据股骨隧道定位方法不同分为TI组(经取腱切口定位,n=65)和AM组(经前内侧定位,n=64)。比较两组患者手术一般情况、股骨隧道角度和长度、膝关节功能(术前、术后1个月及术后3个月膝关节Lysholm评分)及术后3个月并发症发生情况。结果:两组患者移植物直径、住院时间、股骨隧道长度及术后3个月并发症发生率比较,差异无统计学意义(P>0.05)。TI组患者取腱时间、手术时间短于AM组(P<0.05);矢状面角度、冠状面角度大于AM组(P<0.05)。术后1个月及3个月,两组患者膝关节Lysholm评分均升高(P<0.05),但组间差异无统计学意义(P>0.05)。结论:TI技术取腱时间、手术时间更短,获得的股骨隧道角度更大,但两种定位技术在术后3个月内均能获得较为满意的临床效果,且手术并发症发生率相当。Objective:To explore the application effects of tendon incision localization(TI) and anterior medial localization(AM) in anterior cruciate ligament(ACL) reconstruction.Methods:According to different femoral tunnel localization methods,129 patients who underwent elective arthroscopic ACL reconstruction were divided into TI group(tendon incision positioning,n=65) and AM group(anterior medial positioning,n=64).The general surgical condition,angle and length of femoral tunnel,knee function before surgery,1 month and 3 months after surgery,and surgical complications in 3 months after surgery were compared between the two groups.Results:There was no significant difference between the two groups in terms of diameter of the graft,length of hospital stay,the length of femoral tunnel,and the incidence of surgical complications(P>0.05).The time for tendon retrieval and surgery time in TI group was shorter than that in AM group(P<0.05).Sagittal and coronal angles were larger than those in AM group(P<0.05).Compared with preoperative scores,Lysholm scores of both groups increased 1 month and 3 months after surgery(P<0.05).However,there was no significant difference between the groups(P>0.05).Conclusion:Applying TI localization can shorten the time for tendon retrieval and surgery time,and obtain a larger femoral tunnel angle.Both localization techniques can achieve satisfactory clinical results within 3 months after surgery,and the incidence rates of surgical complications are comparable.

关 键 词：前十字韧带损伤 关节镜检查 前十字韧带重建 股骨 腱 

分 类 号：R684[医药卫生—骨科学]