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膝關節鏡下自體膕繩肌腱移植重建前十字韌帶損傷

Arthroscopic reconstruction of anterior cruciate ligament with harmstring autograft transplant
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摘要 目的探討關節鏡下自體膕繩肌腱移植重建前十字韌帶(anterior cruciate ligament,ACL)斷裂傷的臨床效果。方法2011年8月~2013年4月關節鏡下行自體膕繩肌腱重建ACL損傷15例。術前Tegner評分平均為5.35±0.52分,IKDC評分平均為62.4±6.5分。結果全部獲得隨訪,隨訪時間為3~21個月,平均11.6個月。術後Tegner評分增至平均9.13+0.31分,IKDC評分增至平均為89.8±4.3分,均有統計學差異(P<0.05)。所有患者主觀症狀均消失,全部恢復正常工作與體育鍛煉。結論應用自體膕繩肌腱重建ACL損傷明顯改善膝關節功能。 Objective To observe the clinical outcome of arthroscopic anterior cruciate ligament(ACL)reconstruction with harmstring autograft tendon.Methods 15 patients underwent arthroscopic ACL reconstruction with harmstring autograft tendon from August 2011 to April 2013.Results All the patients were follow up,duration ranged from 3 to 21 months(average 11.6 months).The preoperative subjective symptoms disappeared in all patients.Tegner scores increased from preoperatively 5.35±0.52 to 9.13±0.31 postoperatively(P<0.05).IKDC scores increased from preoperatively 62.4±6.5 to 89.8±4.3 postoperatively(P<0.05).All patients returned to normal work and physical exercise.Conclusion ACL reconstruction with harmstring autograft tendon can significantly improve the knee functions.
作者 曾媛芳 符丹 李衛平 劉通方 劉力 張宇 劉定安 陳子傑 CHANG Wun Fong;FU Dan;LI Wei Ping;LIU Tong Fang;LIU Li;ZHANG Yu;LAO Teng On;CHAN Chi Kit(Department of Orthopaedics,Kiang Wu Hospital,Macao,China)
出处 《镜湖医学》 2013年第2期26-28,共3页 MEDICAL JOURNAL OF KIANG WU
关键词 前十字韌帶 關節鏡檢查 膝關節 Anterior Cruciate Ligament Arthroscopy Knee joint
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