摘要
目的 :探讨关节镜监视下射频皱缩治疗交叉韧带松弛的方法与疗效。方法 :2 0 0 1年 7月～ 2 0 0 3年 9月对关节镜检查发现交叉韧带松弛但其结构连续性存在的 2 2例患者 ,采用关节镜监视下等离子刀皱缩术治疗。其中ACL松弛 14例、PCL 4例 ;ACL重建术后松弛 4例。男 18例 ,女 4例 ;右膝 15 ,左膝 7例。平均年龄 2 8岁 (19～ 36岁 )。膝关节运动伤 9例 ,交通事故伤 7例 ,生活中扭伤 6例。伤后直到手术的时间平均 6个月 (3～ 14个月 )。术后卡盘支具保护下进行功能练习 ,12周解除保护。结果 :术后随访 2 0例 ,失访 2例 ,平均随访 6个月 (4～ 2 2个月 ) ,疗效评估采用Lysholm评分 ,术前平均 35 9分 ,术后平均 88 5分。优 12例 ,良 4例 ,可 2例 ,差 2例。优良率80 %。术后Lachman征由阳性变为阴性 18例 ,患者自觉膝关节稳定 ,功能显著改善。疗效差的 2例行ACL绳肌腱重建。结论 :对ACL和PCL伤后松弛但连续性存在的病例 ,选用射频皱缩术可免除部分患者行交叉韧带重建或翻修手术。
Objective To evaluate the clinical effectiveness of bipolar radio frequency tightening elongated ACL and PCL under arthroscopy.Methods From July 2001 to September 2003, twenty-two patients (average age 28, 19～36 years old; 18 males and 4 females; 15 right knees and 7 left; 9 from sports injury, 7 from traffic accident and 6 by sprain injury) with symptomatic laxity and confirmed elongation with rupture of structure were operated with bipolar radio frequency thermal shrinkage under arthroscopy. The average duration till operation was 6 months from injure. After operation, the patients started functional rehabilitation with protection of unlimited knee orthosis for 12 weeks. Results Twenty cases were follow-up for 4 to 22 months with average of 6 months. Lysholm score from 35.9 preoperation increased to 88.5 postoperation. Most patients had significant improvement in stability and function of knee join(excellent in 12,good in 4 and fair in 2). Conclusion Bipolar radio frequency could be applied to tighten elongated cruciate ligament of continuous structure and avoid potential revision and reconstruction in some cases.
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2004年第5期529-531,共3页
Chinese Journal of Sports Medicine
