摘要
目的探讨前交叉韧带重建术联合垂直褥式缝合半月板修复治疗前交叉韧带断裂合并半月板损伤的远期临床疗效。方法本研究为前瞻性病例对照研究。选取从2007年1月~2010年1月所有进行ACL重建术时同时进行半月板修复的共71例连续病例进行筛选。另外在同期手术患者中选取两组患者作为对照组,一组在ACL重建术中进行了半月板切除术(对照组1),另一组在ACL重建术中半月板完好,没有行半月板的任何操作(对照组2)。术后3、6、12个月,此后每年进行随访,每次随访时进行常规查体与Lysholm、IKDC和Tegner评分评估。结果共35例患者入组,随访时间为84~109个月,平均(99.1±17.9)个月。实验组与两个对照组比较,KT-1000结果和轴移实验结果的差别无统计学意义。实验组中,患者Lysholm评分从术前的(44.2±10.9)增加为末次随访时(82.7±21.2)(P=0.015),IKDC评分从术前的(31.7±11.2)增长为(84.2±19.9)(P=0.0005),相比于对照组1中的患者的术后评分为(70.5±15.8)(P=0.01),对照组2中患者的术后评分为(88.2±17.4)(P=0.24)。实验组中,Tegner评分从术前(2.2±1.1)增长为(4.0±2.1)(P=0.02),对照组1和对照组2在末次随访时相比均无显著差异。结论这项研究证明了在最少2年的随访时间中,行ACL重建术合并半月板修复的患者可以得到很好地远期结果,并且可以恢复到半月板完好组的水平。
Objective To study the long-term outcome of anterior cruciate ligament reconstruction with vertical mattress suture meniscus repair for rupture of anterior cruciate ligament with meniscus injury. Methods 71 cases underwent anterior cruciate ligament reconstruction with meniscal repair from January 2007 to January 2010 were screened.In addition,two groups of patients were selected as control group during the same period of operation,one group was treated with anterior cruciate ligament reconstruction combined with meniscectomy（the control group one）,and another group with intact meniscus was treated with anterior cruciate ligament reconstruction,without any operation of meniscus（the control group two）.All cases were followed up 3,6 and 12 months after operation,and from then,were followed up once a year.Routine physical examination and Lysholm,IKDC and Tegner score evaluation as were followed up. Results A total of 35 cases were selected,and mean following-up time was （99.1 ± 17.9） （84.0- 108.5 ）mons.Compared with the two control groups,KT-1000 results and axial shift test results in the experience group showed no significant difference.In the experience group,Lysholm score increased from （44.2 ±10.9） before operation to （82.7 ± 21.2） at last following-up （P=0.015）,IKDC increased from （31.7 ± 11.2）efore operation to（84.2 ± 19.9） （ P=0.0005 ） ,and compared with the control group one of （0.5 ± 15.8）（P=0.01）,the control group two of（88.2± 17.4） （P=0.24）.In the experience group,Tegner score increased from（2.2± 1.1） before operation to （4.0 ± 2.1） （ P=0.02 ）,and there was no significant difference between two control groups at last following-up. Conclusion The study proved that the patients were followed up for at least 2 years,Long-term results can be obtained in patients undergoing ACL reconstruction combined with meniscal repair,and it can be restored to the intact meniscus group.
作者
田鹏
TIAN Peng(Department of Orthopaedics,Linhe District People＇s Hospital,Bayannaoer City,Bayannaoer Inner Mongolia 015000,China)
出处
《中国医药科学》
2017年第22期225-228,232,共5页
China Medicine And Pharmacy
关键词
前交叉韧带
半月板
重建
修复
运动医学
随访研究
稳定性
病例对照研究
Anterior cruciate ligament
Meniscus
Reconstruction
Repair
Sports medicine
Follow-up study
Stability
Case- control study
