摘要
目的:探讨单束重建结合胫骨嵌入技术重建后交叉韧带(prosterior cruciate ligament,PCL)的方法及其临床疗效。方法:10例Ⅲ度PCL损伤患者,术前均经MRI明确诊断,运用单束重建结合胫骨嵌入技术重建PCL。结果:10例术后均获随访,随访10~24个月。术后膝关节活动度基本恢复正常,无疼痛及其他并发症。术后后抽屉实验、反向Lachman实验和反向轴移实验均为阴性。术后Lysholm评分为(88.5±2.5)分,较术前(58.6±5.3)分显著提高(P〈0.01)。结论:单束重建结合胫骨嵌入技术重建PCL能显著恢复患膝功能,临床效果满意。
Objective : To explore the clinical outcome of reconstructing the prosterior cruciate ligament (PCL) by combining the single- bundle and tibial-inlay techniques. Methods: Ten cases of grade m PCL injuries were performed reconstruction of the PCL by combining the tibial-inlay and single-bundle techniques after definitely diagnosed by MRI. Results:All the patients were followed up for 10 to 24 months,and all the knee joint motion was in normal range with no exhibition of pain or other symptoms. The postoperative posterior draw test,reverse Lachman test and reverse pivot shift test were all negative. The postoperative Lysholm score was (88.5 ±2.5 ) points, which was increased significantly compared with the preoperative points of ( 58.6±5.3 ) ( P 〈 0.01 ) . Conclusions : Reconstruction of PCL by combining the single-bundle and bibial-inlay techniques can obviously restore the function of the injured knee,and the clinical outcome is satisfactory.
出处
《蚌埠医学院学报》
CAS
2009年第4期303-305,共3页
Journal of Bengbu Medical College
关键词
韧带
关节/损伤
关节成形术
后交叉韧带
单束重建
胫骨嵌入
ligaments, articular/injuries
arthroplasty
prosterior cruciate ligament
single-bundle technique
tibial-inlay technique