摘要
目的:比较关节镜下前交叉韧带(anterior cruciate ligament,ACL)重建术中保留残端与不保留残端治疗ACL损伤患者的效果。方法:选取2021年2月—2022年6月中国人民武装警察部队广东省总队医院收治的102例ACL损伤患者。根据随机数表法将其分为对照组与研究组,各51例。两组均给予关节镜下ACL重建术,对照组给予不保留残端,研究组给予保留残端。比较两组术前和术后3个月、6个月膝关节功能、膝关节活动度、本体感觉功能、韧带损伤程度。结果:术前和术后3个月、6个月,两组Lysholm评分比较,差异无统计学意义(P>0.05)。术前和术后3个月、6个月,两组膝关节活动度比较,差异无统计学意义(P>0.05)。术后3个月、6个月,研究组被动活动察觉阈值和被动角度均低于对照组,差异有统计学意义(P<0.05)。术前和术后3个月、6个月,两组国际膝关节文献委员会膝关节评估表(the international knee documentation committee knee uation form,IKDC评分)评分比较,差异无统计学意义(P>0.05)。结论:关节镜下ACL重建术中保留残端与不保留残端都能够对ACL损伤患者进行有效的治疗,但ACL损伤患者保留残端可更为显著地改善本体感觉功能。
Objective:To compare the effect of preserving and not preserving the residual end in anterior cruciate ligament(ACL)reconstruction surgery under arthroscope in the treatment of patients with ACL injury.Method:A total of 102 patients with ACL injury admitted to Guangdong Provincial General Hospital of the Chinese People's Armed Police Force from February 2021 to June 2022 were selected.According to the method of random number table,they were divided into control group and study group,51 cases in each group.ACL reconstruction surgery under arthroscope was performed in both groups.The control group was given not preserved residual end and the study group was given preserved residual end.Knee joint function,knee joint ranger of motion,proprioceptive function,degree of ligament injury before surgery,3 and 6 months after surgery were compared between the two groups.Result:There were no statistically significant differences in Lysholm scores between the two groups before surgery and 3 and 6 months after surgery(P>0.05).There were no statistically significant differences in knee joint range of motion between the two groups before surgery and 3 and 6 months after surgery(P>0.05).The passive activity perception threshold and passive angle of the study group were significantly lower than those of the control group at 3 and 6 months after surgery,and the differences were statistically significant(P<0.05).There were no statistically significant differences in the international knee documentation committee knee uation form(IKDC)score between the two groups before surgery,3 and 6 months after surgery(P>0.05).Conclusion:Both preserving and not preserving the residual end during arthroscopic ACL reconstruction can effectively treat patients with ACL injury,but preserving the residual end can significantly improve proprioceptive function in ACL injury patients.
作者
杨军
梁冬梅
单战
薛剑
YANG Jun;LIANG Dongmei;SHAN Zhan;XUE Jian(Guangdong Provincial General Hospital of the Chinese People's Armed Police Force,Guangzhou 510500,China;不详)
出处
《中外医学研究》
2024年第2期53-57,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
广东省医学科学技术研究基金项目(A2021272)。
关键词
关节镜
前交叉韧带
保留残端
不保留残端
效果
Arthroscopy
Anterior cruciate ligament
Preserving the residual end
Not preserving the residual end
Effect
