中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (31): 5747-5750.doi: 10.3969/j.issn. 2095-4344.2012.31. 011

• 细胞与组织移植 cell and tissue transplantation • 上一篇    下一篇

同种异体骨-髌腱-骨移植治疗陈旧性膝关节外侧副韧带损伤

张 焱，骆宇春，李 坤，王亚东，樊 嵘   

  1. 解放军第101医院骨科，江苏省无锡市 214044
  • 收稿日期:2012-01-20 修回日期:2012-05-21 出版日期:2012-07-29 发布日期:2012-07-29
  • 作者简介:Zhang Yan★, Master, Attending physician, Department of Orthopedics, the 101 Hospital of Chinese PLA, Wuxi 214044, Jiangsu Province, China wuxi101@sina.com

Allogenic bone-patellar tendon-bone graft for the treatment of chronic lateral collateral ligament injury of the knee

Zhang Yan, Luo Yu-chun, Li Kun, Wang Ya-dong, Fan Rong   

  1. Department of Orthopedics, the 101 Hospital of Chinese PLA, Wuxi 214044, Jiangsu Province, China
  • Received:2012-01-20 Revised:2012-05-21 Online:2012-07-29 Published:2012-07-29
  • About author:Zhang Yan★, Master, Attending physician, Department of Orthopedics, the 101 Hospital of Chinese PLA, Wuxi 214044, Jiangsu Province, China wuxi101@sina.com

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563

被引次数

1

摘要：

背景：目前同种异体组织移植成为韧带移植重建的一种选择，同种异体骨-髌腱-骨可作为外侧副韧带重建的一种选择。
目的：观察采用同种异体骨-髌腱-骨移植重建陈旧性外侧副韧带损伤的临床效果。
方法：选择2008-04/2009-12解放军第101医院骨科收治的Ⅲ度陈旧性外侧副韧带损伤患者11例，均采用同种异体髌腱解剖移植重建外侧副韧带。
结果与结论：11例患者均获得随访，随访时间12~15个月。切口均Ⅰ期愈合，关节活动范围移植重建后较移植前显著增大(P < 0.05)。Lysholm评分末次随访时较移植前显著增加(P < 0.05)。移植前内翻应力位X射线平片显示患膝外侧关节间隙较对侧平均增加8~20(12.9±3.5) mm，移植后6个月为-2~3 (1.0±1.9) mm，与移植前相比差异有显著性意义(P < 0.05)，与健侧相比差异无显著性意义(P > 0.05)。提示应用同种异体骨-髌腱-骨对陈旧性外侧副韧带损伤进行重建，能够有效恢复膝关节内翻稳定性，对其他软组织重建提供保护作用。

关键词: 同种异体骨-髌腱-骨, 移植, 膝关节外侧副韧带, 损伤, 重建

Abstract:

BACKGROUND: Allogeneic tissue transplantation has become a choice of ligament graft and reconstruction, and allogenic bone-patellar tendon-bone graft is a method for lateral collateral ligament reconstruction.
OBJECTIVE: To investigate the clinical effect of allogenic bone-patellar tendon-bone graft for chronic lateral collateral ligament injury.
METHODS: From April 2008 to December 2009, 11 cases of Ⅲ degree chronic lateral collateral ligament injury were selected and treated with lateral collateral ligament reconstruction by allogenic bone-patellar tendon-bone graft.
RESULTS AND CONCLUSION: All patients were followed-up for 12-15 months. The wound healed by first intention. The movement ranges of the knee were significantly increased preoperatively (P < 0.05). The Lysholm scroe at the last follow-up was significantly increased as compared with preoperatively. Preoperative varus stress radiographs demonstrated the knee lateral joint space increase of 8 to 20 (12.9±3.5) mm in average compared with the contralateral, the knee lateral joint space was 2-3 (1.0±1.9) mm at 6 months postoperatively, and there was a significant difference (P < 0.05), and there was no significant difference when compared with the healthy side (P > 0.05). Reconstruction of the lateral collateral ligament with allogenic bone-patellar tendon-bone graft is a viable option to treat chronic lateral collateral ligament tears, and can restore normal varus stability, and plays a protect effect on other soft fissue repair.

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