摘要
目的探讨三隧道Femoral-Intrafix固定双束重建对前交叉韧带损伤患者膝关节稳定性及功能的影响。方法选取华北医疗健康集团峰峰总医院2019年11月至2020年11月收治的54例膝关节前交叉韧带损伤患者,采用随机抽签法将其分为观察组和对照组,各27例。对照组采用单隧道单束重建术,观察组采用三隧道Femoral-Intrafix固定双束重建,两组术后均随访24个月。比较两组手术及术后情况,比较两组术前及术后24个月的关节功能、膝关节稳定性差异,记录两组术后并发症发生情况。结果观察组住院、负重、下床活动时间均短于对照组(P<0.05)。术后24个月,两组国际膝关节评分委员会评分、Lysholm评分高于术前,且观察组高于对照组(P<0.05)。术后24个月,两组前抽屉试验、Lachman试验阳性率低于术前,且观察组轴移试验阳性率低于本组术前和对照组(P<0.05);对照组轴移试验阳性率与本组术前比较,差异无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论三隧道Femoral-Intrafix固定双束重建能够更好地恢复患者膝关节功能和旋转稳定性,值得临床推广。
Objective To investigate the influence of triple-tunnel Femoral-Intrafix fixed double bundle reconstruction on knee stability and function in patients with anterior cruciate ligament injury.Methods Fifty-four patients with anterior cruciate ligament injury of knee joint admitted to Huabeiyiliao Jiankangjituan Fengfeng Zongyiyuan from November 2019 to November 2020 were selected and divided into observation group and control group by random drawing method,with 27 cases in each group.Single-tunnel single bundle reconstruction was used in the control group,while triple-tunnel Femoral-Intrafix fixed double bundle reconstruction was used in the observation group,and both groups were followed up for 24 months after surgery.The operation and postoperative conditions of the two groups were compared,the differences in joint function and knee stability before operation and 24 months after operation between the two groups were compared,and the incidence of postoperative complications between the two groups was recorded.Results The time of hospitalization,weight bearing,and getting out of bed in the observation group were shorter than that in the control group(P<0.05).At 24 months after operation,International Knee Documentation Committee score and Lysholm score of the two groups were higher than those before operation,and those of observation group were higher than those of control group(P<0.05).At 24 months after operation,the positive rates of the front drawer test and Lachman test in the two groups were lower than those before operation,and the positive rate of the axial shift test in the observation group was lower than that before operation and control group(P<0.05);there was no statistical significance in the positive rate of the axial shift test in the control group compared with that before operation(P>0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Triple-tunnel Femoral-Intrafix fixed double bundle reconstruction can restore the function and rotational stability of the patient’s knee joint better,and is worthy of clinical promotion.
作者
冯志伟
刘殿奎
常德勇
梁振星
杨辉
FENG Zhiwei;LIU Diankui;CHANG Deyong;LIANG Zhenxing;YANG Hui(Department of Orthopaedics,Huabeiyiliao Jiankangjituan Fengfeng Zongyiyuan,Hebei Province,Handan 056200,China)
出处
《中国医药导报》
CAS
2023年第21期88-91,共4页
China Medical Herald
基金
河北省卫生健康委员会医学科学研究计划项目(20210570)。
