关节镜下应用可吸收螺钉固定四股腘绳肌腱的交叉韧带重建  

Cruciate ligament reconstruction with four-strand hamstring autograft tendon fixed by bioresorbable interference screw under arthroscopy

作　　者：王友[1] 史定伟[1] 张峻[1] 

机构地区：[1]上海第二医科大学附属第九人民医院骨科,200011

出　　处：《上海医学》2004年第2期91-93,共3页Shanghai Medical Journal

摘　　要：目的　探讨应用可吸收螺钉固定四股绳肌腱重建膝关节前或后交叉韧带的临床疗效。方法　对 2 5例交叉韧带撕裂 (19例前交叉韧带、6例后交叉韧带 )患者行关节镜下四股绳肌腱重建手术 ,术后平均随访19.3个月 ,比较术前、术后膝关节稳定性、关节活动度的改变。结果　重建术后患者平均膝关节活动度为 12 7° ,其中最大活动度 14 0° ,最小活动度 10 0°。术前膝关节前方不稳定者中有 84 %于术后Lachman试验转为阴性 ;术前 ++～ +++的膝关节后方不稳者中 ,有 6 7%术后后抽屉试验转为阴性。结论　可吸收螺钉固定四股绳肌腱重建交叉韧带具有良好的初期疗效。Objective To explore the clinical efficacy of cruciate ligament reconstruction with four-strand hamstring autograft tendon fixed by bioresorbable interference screw under arthroscopy. Methods 25 cruciate ligament injuries (19 ACL injuries, 6 PCL injuries) were treated under arthroscopic reconstruction with four-strand hamstring autograft tendon and followed up for the changes in their knee stabilities and range of motion.Results 25 cruciate ligament injuries (19 ACL injuries, 6 PCL injuries) were treated by arthroscopic reconstruction with four-strand hamstring autograft tendon and followed up for the changes in their knee stabilities and range of motion.During 19.3 months of average follow-up duration, 84% of the patients after the ACL reconstruction gained stable knee with negative Lachman test while 67% PCL reconstruction resulted in negative posterior drew test postoperatively. The average ROM after reconstruction reached 127°(100°～140°).Conclusions Good or excellent short-term efficacy were expected for ACL or PCL reconstruction with four-strand hamstring tendon autograft fixed by bioresorbable interference screws.

关 键 词：关节镜 可吸收螺钉 四股腘绳肌腱 交叉韧带重建 

分 类 号：R687[医药卫生—骨科学]