摘要
目的:探讨关节镜保留残端的前交叉韧带重建术的疗效。方法:选取2018年2月至2019年2月施行关节镜前交叉韧带重建的46例患者,采用随机数表法分为观察组与对照组,每组23例,对照组行关节镜下非保留残端前交叉韧带重建术,观察组行保留残端前交叉韧带重建术,观察术后治疗效果及本体感觉恢复情况。结果:术后6个月观察组患者Lysholm评分、国际膝关节文献委员会评分、膝关节稳定性及膝关节活动度均高于对照组,差异有统计学意义(P<0.05);术后6个月、12个月,两组患者本体感觉评分优于术前(P<0.05)。术后6个月,观察组患者患侧本体感觉评分与健侧相比差异无统计学意义(P>0.05),且优于对照组(P<0.05),对照组患者患侧本体感觉评分低于健侧(P<0.05)。术后12个月,对照组患侧本体感觉评分较健侧差异无统计学意义(P>0.05),两组本体感觉评分差异无统计学意义(P>0.05)。结论:关节镜保留残端的前交叉韧带重建术可更好地促进膝关节功能及本体感觉的恢复,效果较好,值得推广应用。
Objective:To discuss the effect of arthroscopic anterior cruciate ligament(ACL)reconstruction with preservation of residual end on postoperative efficacy and proprioception recovery.Methods:A total of 46 patients who underwent arthroscopic ACL reconstruction from Feb.2018 to Feb.2019 were selected.They were divided into observation group and control group using the random number table with 23 cases in each group.The patients in the control group underwent arthroscopic ACL reconstruction without residual end reservation,while the patients in the observation group underwent arthroscopic ACL reconstruction with residual end reservation.The therapeutic effects and proprioceptive recovery of the two groups were compared and analyzed at 6 months and 12 months after operation.Results:Six months after operation,the Lysholm score,international knee documentation committee score,knee stability and motion range of the knee joint in the observation group were significantly higher than those in the control group(P<0.05).Proprioceptive score at 6 and 12 months after operation in the two groups was significantly better than that before operation.Six months after operation,there was no significant difference in the proprioceptive score between the affected side and the healthy side in the observation group(P>0.05),and it was significantly better than that in the control group(P<0.05).The proprioception score of the affected side in the control group was lower than that in the healthy side(P<0.05).12 months after operation,there was no significant difference in proprioceptive score between affected side and the healthy side in the control group(P>0.05),and there was no significant difference between the two groups(P>0.05).Conclusions:Arthroscopic stump-sparing ACL reconstruction can better promote the recovery of knee joint function and proprioceptive sensation,and the clinical application effect is good,this procedure is worth applying and popularizing.
作者
梁硕福
LIANG Shuo-fu(Department of Bone Surgery,Zibo Zhoucun District People's Hospital,Zibo 255036,China)
出处
《腹腔镜外科杂志》
2020年第7期547-551,共5页
Journal of Laparoscopic Surgery
关键词
膝关节
保留残端
前交叉韧带重建
本体感觉
关节镜检查
Knee joint
Stump-sparing
Reconstruction of anterior cruciate ligament
Proprioception
Arthroscopy
