中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (22): 4041-4046.doi: 10.3969/j.issn.1673-8225.2010.22.012

• 数字化骨科 digital orthopedics • 上一篇    下一篇

关节镜下自体腘绳肌腱移植重建前交叉韧带：应用Rigidfix和Intrafix系统的比较

涂  俊，徐  斌   

  1. 安徽医科大学第一附属医院骨二科，安徽省合肥市  230022
  • 出版日期:2010-05-28 发布日期:2010-05-28
  • 通讯作者: 徐 斌，教授，主任医师，硕士生导师，安徽医科大学第一附属医院骨二科，安徽省合肥市 230022 youchen100@126.com
  • 作者简介:涂 俊★，男，1986年生，安徽省潜山县人，汉族，安徽医科大学在读硕士，主要从事运动医学关节外科的研究。 tujun19860812@yahoo.com.cn

Rigidfix femoral fixaion device versus Intrafix tibial fixaion device in arthroscopic reconstruction of anterior cruciate ligament using autografts of hamstring tendon 

Tu Jun, Xu Bin   

  1. Second Department of Orthopaedics Surgery, First Affiliated Hospital of Anhui Medical University, Hefei  230022, Anhui Province, China
  • Online:2010-05-28 Published:2010-05-28
  • Contact: Xu Bin, Professor, Chief physician, Master’s supervisor, Second Department of Orthopaedics Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China youchen100@126.com
  • About author:Tu Jun★, Studying for master’s degree, Second Department of Orthopaedics Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China tujun19860812@yahoo.com.cn

PDF

435

摘要：

背景：目前在肌腱的来源、骨道的定位、腱骨愈合以及术后康复锻炼均已有比较一致的共识，但在肌腱的固定方式方面仍有分歧。
目的：观察运用Rigidfix和Intrafix系统进行自体腘绳肌腱单束前交叉韧带重建的临床效果。
方法：选择安徽医科大学第一附属医院骨二科应用Rigidfix和Intrafix系统行关节镜下自体腘绳肌腱前交叉韧带重建的患者30例，男21例，女9例，年龄18~49岁，平均31岁。术前检查：前抽屉试验30例均阳性，Lacheman试验28例阳性，轴移试验23例阳性，Lysholm膝关节评分(59.2±5.2)分。术后经过系统康复治疗，随访后观察疗效。
结果与结论：30例患者经过6~18个月(平均13个月)的随访，均无严重并发症发生，术后膝关节活动度均正常，返回工作岗位正常工作。前抽屉试验Ⅰ度阳性1例，Lacheman试验Ⅰ度阳性1例，Ⅱ度阳性1例，阴性28例。轴移试验均阴性。Lysholm膝关节评分术后(93.1±4.3)分，较术前明显增高(P < 0.05)。IKDC评分25例正常，5例几乎正常。提示通过应用Rigidfix和Intrafix系统固定腘绳肌腱进行自体腘绳肌腱单束前交叉韧带重建能够达到良好的临床康复效果，此手术方法操作简单，固定牢固，愈合较好，效果确切。

关键词: 前交叉韧带, 自体腘绳肌腱, Intrafix, Rigidfix, 重建

Abstract:

BACKGROUND: Tendon source, bone tract localization, tendon and bone healing and postoperative rehabilitation have achieved agreement. However, it remains controversial in tendon fixation pattern. 
OBJECTIVE: To retrospectively evaluate clinical results of arthroscopic anterior cruciate ligament (ACL) reconstruction by use of hamstring autograft with femoral fixation via Rigidfix system and tibial fixation via Intrafix system.
METHODS: A total of 30 patients that had been treated with arthroscopic ACL reconstruction by use of hamstring autograft with femoral fixation via Rigidfix system and tibial fixation via Intrafix system in the Second Department of Orthopaedics Surgery, First Affiliated Hospital of Anhui Medical University from February 2008 to August 2009, including 9 females and 21 females, aged 31 years (range 18-49 years). Preoperative examinations showed positive results of 30 cases in anterior drawer test, 28 positive for Lacheman test, 23 positive for pivot shift test. The Lysholm knee joint scores were (59.2±5.2). The treatment effect was observed during follow-up following rehabilitative treatment.
RESULTS AND CONCLUSION: The mean follow-up period was 13 months (range, 6 to 18 months). No patient had serious complication, and all patients could go back to work. All Pivot shift tests were negative, 1 patient in Lacheman test was Ⅰ and 1 was Ⅱ. The mean Lysholm score was 93.1± 4.3 postoperatively, significantly increased compared with preoperative scores (P < 0.05). On the basis of the final International Knee Documentation Committee grade, 25 knees were normal, and 5 were nearly normal. Rigidfix femoral fixaion device and Intrafix tibial fixaion device in anterior cruciate ligament reconstruction by use of hamstring autograft are effective, useful, and reproducible.

中图分类号: