经关节镜中1/3髌韧带重建后交叉韧带  

Arthroscopic reconstruction of posterior cruciate ligament using middle one third of patellar tendon graft

作　　者：刘宝荣[1] 滕学仁[2] 王家让[1] 付玉庆[1] 丁旭云[1] 

机构地区：[1]湖南省人民医院骨科,湖南长沙410002 [2]青岛大学附属市立医院骨科,山东青岛266011

出　　处：《中国内镜杂志》2003年第12期14-16,共3页China Journal of Endoscopy

摘　　要：目的　介绍一种关节镜下后交叉韧带 (PosteriorCruciateLigament,简称PCL)重建术并评估其近期临床治疗效果。方法　中 1/3骨 -髌韧带 -骨组织 (Bone -PatellarTendon -BoneGraft,简称BPB)移植重建膝关节后交叉韧带 ,用于治疗后交叉韧带损伤后关节不稳定。手术在关节镜下经前方进路完成。结果　 18例患者平均随访 13.1个月。Larson评分由术前 6 1分提高到 93分。Lysholm评分由术前 5 5分提高到 91分。所有患膝术前后抽屉试验及Lachman试验均阳性 ,术后仅 2例抽屉试验弱阳性 ,1例Lachman弱阳性。所有患者主观评价膝关节功能明显增进 ,对治疗效果满意。结论　在关节镜直视下 ,能准确定位后交叉韧带解剖止点 ,钻制骨遂道 ,植入移植组织。该技术具有不切开关节囊 ,损伤小、关节粘连率低的优点。Objective:To introduce an arthroscopic posterior cruciate ligament reconstruction method, and evaluate the earlier clinical results. Methods:To treat unstable knee after posterior cruciate ligament injury by transplantation of middle third of bone-patellar tendon-bone graft(BPB). The operation was performed under arthroscope by anterior approach.Results:Eighteen cases of patients got average follow-up of 13.1 months. The Larson score rise from 61 point to 93 point. The Lysholm score rise from 55 point to 91 point. All patients had positive posterior drawer test and positive Lachman test preoperatively, only 2 cases had slight positive posterior drawer test and 1 case had slight positive Lachman test in the last follow-up time. In the subjective evaluation, all patients considered that their knee's function is greatly improved and were satisfied with the results.Conclusions:Under arthroscope, one can accuratelly localize the anatomic PCL insertion, drill holes and transplant tissue grafts. As no capsule incision,arthroscopic posterior cruciate ligament reconstruction has the advantages of less trauma and lower adherence incidence.

关 键 词：关节镜 后交叉韧带 重建 

分 类 号：R684[医药卫生—骨科学]