期刊文献+

前交叉韧带自体腘绳肌腱移植单束重建:患膝关节功能及稳定性1年随访 被引量:9

Anterior cruciate ligament reconstruction with single beam of hamstring tendon: a 1-year follow-up of knee function and stability
下载PDF
导出
摘要 背景:目前,关节镜下前交叉韧带保残与非保残重建的优劣以及保残重建对本体感觉的影响尚无明确定论。目的:比较关节镜下前交叉韧带自体腘绳肌腱移植保残重建与非保残重建后膝关节功能及稳定性的1年随访。方法:回顾分析关节镜下前交叉韧带重建患者75例,其中非保残重建37例,保残重建38例,均使用自体腘绳肌腱作为移植物。治疗前及治疗后6个月、治疗后1年进行Lysholm评分,IKDC评分及KT2000检测评价患者膝关节功能及稳定性,并采用被动角度重复试验进行本体感觉测试。结果与结论:治疗后随访时间为12-20个月。两组患者治疗后6个月患膝关节活动度均已基本恢复正常,患膝治疗后6个月、治疗后1年Lysholm评分,IKDC评分及KT2000检测较治疗前均获改善(P<0.05),两组之间差异无显著性意义。术后6个月及1年保残组健侧和患侧本体感觉偏差小于非保残组(P<0.05)。治疗后摄片检查发现两组各有2例患者胫骨骨道偏离理想位置,未见独眼畸形发生。结果表明,前交叉韧带自体腘绳肌腱移植保残重建有利于患者修复术后本体感觉的恢复,并不增加手术并发症的发生率。 BACKGROUND:Currently, there is stil no clear conclusion on the pros and cons of arthroscopic anterior cruciate ligament reconstruction with or without stump preservation residues as wel as the impact of reconstruction with stump preservation on proprioceptive sensation. OBJECTIVE:To compare the curative effect of arthroscopic anterior cruciate ligament reconstruction with or without stump preservation on the function and stability of the knee joint during a 1-year folow-up. METHODS: A retrospective analysis of 75 cases of arthroscopic anterior cruciate ligament reconstruction was done, including 37 cases of anterior cruciate ligament reconstruction without stump preservation and 38 cases of anterior cruciate ligament reconstruction with stump preservation. Autologous hamstring tendons were selected as implants. Evaluation of preoperative (6 months before operation) and postoperative (6 months and 1 year after operation) knee function and stability was implemented on the basis of Lysholm scores, IKDC Scores and KT2000. The comparative analysis was carried out as wel on repeated passive angle for proprioception testing. RESULTS AND CONCLUSION:Al of the patients were folowed up for 12 to 20 months. Range of motion of the knee joint was basicaly restored in the two groups 6 months after operation. The results showed the Lysholm scores, IKDC scores and KT-2000 scores at 6 months and 1 year after operation were significantly improved in the two groups as compared with the preoperative data (P 〈 0.05), and there was no statisticaly difference between the two groups. The proprioception difference between the healthy and affected sides was lower in the patients with stump preservation than those without stump preservation at 6 months and 1 year after operation (P〈 0.05). There were two cases in each group whose bone tunnel of the tibia was found deviating from the ideal position through postoperative X-ray examination, but cyclopia was unseen. Anterior cruciate ligament reconstruction with stump preservation is beneficial to the recovery of postoperative proprioception without increasing of postoperative complications.
出处 《中国组织工程研究》 CAS 北大核心 2015年第2期246-251,共6页 Chinese Journal of Tissue Engineering Research
关键词 组织构建 组织工程 前交叉韧带 残端 本体感觉 关节镜 自体腘绳肌 移植 Anterior Cruciate Ligament Knee Joint Transplantation Arthroscopes
  • 相关文献

参考文献6

二级参考文献94

共引文献59

同被引文献91

  • 1赵金忠,何耀华,王建华.关节镜下采用四股和八股腘绳肌肌腱双束重建前十字韧带的比较研究[J].中华骨科杂志,2006,26(6):381-385. 被引量:24
  • 2Ghodadra N, Mall NA, Karas V, et al. Articular and meniscal pathology associated with primary anterior cruciate ligament reconstruction. JKnee Surg, 2013, 26(3): 185-193.
  • 3Cournapeau J, Klouche S, Hardy P. Material costs of anterior cruciate ligament reconstrutcion with hamstring tendons by two different techniques. Orthop Traumatol Surg Res, 2013, 99(2): 196- 201.
  • 4Yasuda K, Kondo E, Ichiyama H, et al. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy, 2004, 20(10): 1015-1025.
  • 5Hefti F, MUller W, Jakob RP, et al. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc, 1993, 1(3-4): 226-234.
  • 6Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med, 1982, 10(3): 150-154.
  • 7Meredick RB, Vance KJ, Appleby D, et al. Outcome of single- bundle versus double-bundle reconstruction of the anterior cruciate ligament: a meta-analysis. Am J Sports Med, 2008, 36(7): 1414-1421.
  • 8Murawski CD, Wolf MR, Araki D, et al. Anatomic anterior cruciate ligament reconstruction: current concepts and future perspectives. Cartilage, 2013, 4(3 Suppl): 27S-37S.
  • 9Tiamklang T, Sumanont S, Foocharoen T, et al. Double- bundle versus single-bundle reconstruction for anterior cruciate ligament rupture in adults. Cochrane Database Syst Rev, 2012,11: CD008413.
  • 10Zhao J, Peng X, He Y, et al. Two-bundle anterior cruciate ligament reconstruction with eight-stranded hamstring tendons: four-tunnel technique. Knee, 2006, 13(1): 36-41.

引证文献9

二级引证文献56

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部