摘要
目的探讨关节镜下可吸收锚钉修复前交叉韧带部分损伤的早期疗效。方法 2013年12月—2015年2月,收治22例前交叉韧带部分损伤患者。其中男12例,女10例;年龄20~44岁,平均27.5岁。左膝8例、右膝14例;受伤至入院时间2~13 d,平均9.8 d。合并半月板损伤16例。关节镜下采用可吸收锚钉修复损伤的前交叉韧带。采用Tegner评分、Lysholm评分及国际膝关节文献委员会(IKDC)评分评价患者膝关节功能,同时采用疼痛视觉模拟评分(VAS)评估患者主观满意度;采用KT-1000测量仪评估膝关节松弛度,并行MRI检查评价韧带恢复情况。结果术后患者切口均Ⅰ期愈合,无手术相关并发症。患者均获随访12个月。随访期间患者均未出现前交叉韧带二次损伤。术后12个月Tegner评分、Lysholm评分、IKDC评分与受伤前比较,差异均无统计学意义(P>0.05);患者主观满意度VAS评分为9~10分,中位数为9.5分;双侧胫骨前移差值为0~6 mm,中位数为0.5 mm。MRI结果提示22例患者连续性、纤维化信号强度分级均为1级。结论关节镜下可吸收锚钉修复前交叉韧带部分损伤可行,术后膝关节功能基本恢复正常,患者满意度高,早期疗效较好。
Objective To study the short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament （ACL） rupture. Methods Between December 2013 and February 2015, 22 patients with partial ACL rupture were repaired with absorbable anchor under arthroscopy. There were 12 males and 10 females with an average age of 27.5 years （range, 20-44 years）. The injury located at left knee in 8 cases and at right knee in 14 cases. The time from injury to admission ranged from 2 to 13 days （mean, 9.8 days）. Sixteen partial ACL ruptures combined with meniscus injury. The effectiveness was assessed by Tegner score, Lysholm score, International Knee Documentation Committee （IKDC） score, visual analogue scale （VAS） score, and MRI, as well as knee laxity was evaluated by KT-1000. Results All incisions healed at stage Ⅰ without any complication. All patients were followed up 12 months. ACL rerupture did not occurred during follow-up. There was no significant difference in Tegner score, Lysholm score, and IKDC score between before injury and at 12 months after operation （P〉0.05）. And the median satisfaction VAS score was 9.5 （range, 9-10）. The tibial anterior translation difference was 0.5 mm （range, 0-6 mm）. MRI showed that the scarring and continuity of the ligament were rated as grade 1 in all patients. Conclusion Arthroscopic repairing by absorbable anchor is a feasible method for partial ACL rupture, with ideal knee function, good satisfaction, and satisfactory short-term effectiveness.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2017年第10期1190-1194,共5页
Chinese Journal of Reparative and Reconstructive Surgery
基金
深圳市卫生和计划生育委员会临床研究项目(SZLY2017004)~~
关键词
前交叉韧带部分损伤
可吸收锚钉
关节镜
韧带修复
Partial anterior cruciate ligament rupture
absorbable anchor
arthroscopy
ligament repair
