摘要
目的：探讨内侧副韧带Ⅱ度损伤合并前后交叉韧带断裂保守与手术治疗的临床效果.方法：2013年1月-2015年1月,27例内侧副韧带Ⅱ度损伤合并前后交叉韧带断裂的患者,其中男性19例、女性8例,年龄32±10.5岁（21-44岁）.2013年1月-2014年8月共有19例患者采用关节镜下前后交叉韧带重建,同时锚钉修复内侧副韧带（A组）,2014年8月-2015年1月,8例患者仅进行前后交叉韧带重建,行支具外固定未修复内侧副韧带（B组）.分别在术后3个月与6个月对2组患者进行评估,分别记录Lysholm评分、Tegner活动水平评分、膝关节活动度.结果：（1）术后3个月A组的Lysholm评分为78.3±4.4分,ROM 99.8°±2.6°,B组的Lysholm评分为70.2±3.6分,ROM 89.3°±3.2°,均较术前的36.4±1.6分显著改善（P〈0.05）,A组Lysholm评分和ROM都优于B组（P〈0.05）.（2）术后6个月A组的Lysholm评分为85.3±2.5分,Tegner活动水平评分平均5级（3-6级）,ROM 119.6°±6.3°.B组的Lysholm评分为83.9±2.9分,Tegner活动水平评分5级（3-6级）,ROM 121.4°±7.1°.而A组与B组之间结果无统计学差异.结论：内侧副韧带Ⅱ度损伤合并前后交叉韧带断裂保守与手术治疗的临床效果基本相同.
Objective：To investigate the clinical effect of conservative and operative treatment of the medial collateral ligament of the Ⅱ°injury combined with the rupture of the anterior and posterior cruciate ligaments.Methods：From January 2013 to January 2015,27 patients with medial collateral ligament Ⅱ°injury combined with anterior and posterior cruciate ligaments rupture,including 19 males and 8 females,aged from 21 to 44 years （32±10.5 years）.From January 2013 to August 2014,19 patients underwent arthroscopic reconstruction of the anterior and posterior cruciate ligaments,While repairing medial collateral ligament with two anchors simultaneously （A group）,and 8 patients were treated only with anterior and posterior cruciate ligament reconstruction from August 2014 to January 2015,fixed with external fixation and medial collateral ligament was not repaired （B group）.Two groups of patients were assessed in 3 months and 6 months after surgery,respectively the Lysholm score,Tegner activity level score and knee joint ROM were recorded.Results：3 months after operation,the Lysholm score of A group was78.3±4.4,ROM 99.8°±2.6°,the Lysholm score of B group was 70.2±3.6,ROM 89.3°±3.2°,it was significantly improved compared with the preoperative（P〈0.05）.The Lysholm score and ROM in A group were better than those in B group（P〈0.05）.6 months after operation,the Lysholm score of A group was 85.3±2.5,and the activity level of Tegner was 5 （3-6 grade）,ROM was 119.6°±6.3°.The Lysholm score of B group was83.9±2.9,the activity level of Tegner was 5 （3-6 grade）,and ROM was 121.4±7.1.There was no significant difference between the A group and the B group（P〉0.05）.Conclusion：The clinical effect of conservative and surgical treatment of the medial collateral ligament injury combined with anterior and posterior cruciate ligament rupture was almost the same.
出处
《中国伤残医学》
2017年第8期9-11,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
前交叉韧带
后交叉韧带
内侧副韧带
关节镜
保守治疗
手术治疗
Anterior cruciate ligament
Posterior cruciate ligament
Medial collateral ligament
Conservative treatment
Surgical treatment
