中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (28): 5317-5320.doi: 10.3969/j.issn.1673-8225.2011.28.047

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    

自体腘绳肌双束重建膝前交叉韧带21例

肖诗梁，曾芳俊，钱  锐，陈霞光，周建国   

  1. 江西赣州市人民医院骨科，江西省赣州市  341000
  • 收稿日期:2011-04-18 修回日期:2011-06-14 出版日期:2011-07-09 发布日期:2011-07-09
  • 通讯作者: 钱锐，副主任医师，科主任，江西赣州市人民医院骨科，江西省赣州市341000 qianrui1027@163.com
  • 作者简介:肖诗梁，男，1971年生，江西省南康市人，汉族，1993年江西医学院毕业，副主任医师，主要从事关节外科疾病的诊治工作。 zengfangjun770207@126.com 并列第一作者：曾芳俊，男，1977年生，江西省南康市人，汉族，2007年苏州大学毕业，硕士，主治医师。 zengfangjun770207@126.com

Reconstruction of anterior cruciate ligament using autologous harmstring tendons in a two-bundle way in 21 patients

Xiao Shi-liang , Zeng Fang-jun, Qian Rui, Chen Xia-guang, Zhou Jian-guo   

  1. Department of Orthopedics, Ganzhou People’s Hospital of Jiangxi Province, Ganzhou  341000, Jiangxi Province, China
  • Received:2011-04-18 Revised:2011-06-14 Online:2011-07-09 Published:2011-07-09
  • Contact: Qian Rui, Associate chief physician, Director of Department of Orthopedics, Department of Orthopedics, Ganzhou People’s Hospital of Jiangxi Province, Ganzhou 341000, Jiangxi Province, China qianrui1027@163.com
  • About author:Xiao Shi-liang, Associate chief physician, Department of Orthopedics, Ganzhou People’s Hospital of Jiangxi Province, Ganzhou 341000, Jiangxi Province, China zengfangjun770207@126.com Zeng Fang-jun, Master, Attending physician, Department of Orthopedics, Ganzhou People’s Hospital of Jiangxi Province, Ganzhou 341000, Jiangxi Province, China zengfangjun770207@126.com Xiao Shi-liang and Zeng Fang-jun contributed equally to this paper and were considered as co-first authors.

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249

被引次数

2

摘要：

背景：传统的前交叉韧带重建为单束重建，不能改善膝关节的旋转不稳定性和本体感觉。
目的：观察关节镜下采用自体腘绳肌腱双束重建前交叉韧带的临床疗效。
方法：选择前交叉韧带损伤患者，重建前磁共振检查均报道有前交叉韧带损伤。采用自体腘绳肌双束4隧道重建前交叉韧带。
结果与结论：前交叉韧带重建后随访≥3个月。KT-2000测量结果显示重建后双侧膝关节前向松弛度差较重建前减小 (P < 0.05)，Lachman 试验检测结果显示重建后Lachman 试验和轴移试验阳性率下降(P< 0.05)。国际膝关节功能评分分级评定结果显示，21 例患者恢复至伤前运动水平(P < 0.01)，结果证实，采用自体腘绳肌腱双束重建前交叉韧带的临床疗效较好。

关键词: 前交叉韧带, 关节镜, 肌腱移植, 双束重建, 单束重建, 软组织构建

Abstract:

BACKGROUND: Conventional anterior cruciate ligament reconstruction is conducted in a single-bundle technique, which cannot improve rotational instability and proprioceptive sensibility of knee joint.
OBJECTIVE: To evaluate the clinical curative effects of arthroscopic reconstruction of anterior cruciate ligament using autologous hamstring tendons in a double-bundle technique.
METHODS: Patients with anterior cruciate ligament injury confirmed by magnetic resonance imaging examination were included. Anterior cruciate ligament reconstruction using autologous hamstring tendons was performed in a double-bundle and four-tunnel way.
RESULTS AND CONCLUSION: After anterior cruciate ligament reconstruction, follow-up was performed more than 3 months. KT-2000 examination showed that bilateral knee joint difference of prior laxity was reduced after reconstruction compared with before reconstruction (P < 0.05). After reconstruction, the positive rate of Lachman test and pivot shift test was decreased (P < 0.05). The knee joint function scoring formulated by the International Knee Documentation Committee showed that after reconstruction, anterior cruciate ligament injury recovered to normal level in 21 patients (P < 0.01). These findings suggest that reconstruction of anterior cruciate ligament using autologous hamstring tendons in a double-bundle way acquires satisfactory clinical effects.

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