| 关节镜下重建前交叉韧带时可吸收界面螺钉股骨隧道内口固定技术探讨 |
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| 引用本文： | 毕擎,朱丹杰,夏冰,洪剑飞,章水均,邱斌松. 关节镜下重建前交叉韧带时可吸收界面螺钉股骨隧道内口固定技术探讨[J]. 中国骨伤, 2007, 20(4): 234-236 |
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| 作者姓名： | 毕擎 朱丹杰 夏冰 洪剑飞 章水均 邱斌松 |
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| 作者单位： | 浙江省人民医院关节外科中心,浙江,杭州,310014 |
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| 摘 要： | ![]()
目的:探讨运用自体4股腘绳肌腱重建前交叉韧带(anterior cruciate ligament,ACL)时,磷酸三钙/聚乳酸(TCP/PLA)可吸收界面螺钉股骨隧道固定的有效方法,评价其临床疗效。方法:ACL损伤需行重建手术的患者27例,男18例,女9例;年龄21~48岁,平均34.5岁;左膝19例,右膝8例。所有患者均以4股自体腘绳肌腱为重建移植物,关节镜下以TCP/PLA可吸收界面螺钉固定股骨隧道,intrafix系统固定胫骨隧道重建ACL。术中注意股骨隧道周围的残端清理,过屈膝关节110°~120°,以使拧入可吸收界面螺钉与股骨隧道轴平行。达到坚强的内口固定。结果:27例中5例发生初次挤压失败。挤压螺钉螺母碎裂1例,隧道内脱空1例,脱空进入关节腔内3例。5例患者均进行挽救治疗后重新固定成功。27例患者均获得随访,随访时间10~18个月,平均14个月。Lachman试验:阴性14例;阳性Ⅰ度10例,阳性Ⅱ度3例。按Lysholm功能评分标准评估膝关节功能,术前平均为(53.1±3.9)分,终末随访时平均(93.3±3.1)分,差异有显著性统计学意义(P<0.05)。结论:关节镜下TCP/PLA可吸收界面螺钉隧道内口固定、4股腘绳肌腱重建ACL能良好地恢复膝关节功能。掌握界面螺钉挤入股骨隧道内口的角度是移植物股骨隧道内固定的关键。
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| 关 键 词： | 前交叉韧带 腘绳肌腱 股骨隧道内口固定 可吸收界面螺钉 |
| 收稿时间： | 2006-12-05 |
Study on fixation technique of TCP/PLA (Tricalcium phosphate/Poly lactic acid) absorbable interference screw in the inlet of femoral tunnel during arthroscopic reconstruction of anterior cruciate ligament with four-stranded autogeneic hamstring tendons |
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| BI Qing,ZHU Dan-jie,XIA Bing,HONG Jian-fei,ZHANG Shui-jun and QIU Bin-song. Study on fixation technique of TCP/PLA (Tricalcium phosphate/Poly lactic acid) absorbable interference screw in the inlet of femoral tunnel during arthroscopic reconstruction of anterior cruciate ligament with four-stranded autogeneic hamstring tendons[J]. China journal of orthopaedics and traumatology, 2007, 20(4): 234-236 |
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| Authors: | BI Qing ZHU Dan-jie XIA Bing HONG Jian-fei ZHANG Shui-jun QIU Bin-song |
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| Affiliation: | The Center of Bone and Joint Surgery,the People's Hospital of Zhejiang Province,Hangzhou 310014,Zhejiang,China;The Center of Bone and Joint Surgery,the People's Hospital of Zhejiang Province,Hangzhou 310014,Zhejiang,China;The Center of Bone and Joint Surgery,the People's Hospital of Zhejiang Province,Hangzhou 310014,Zhejiang,China;The Center of Bone and Joint Surgery,the People's Hospital of Zhejiang Province,Hangzhou 310014,Zhejiang,China;The Center of Bone and Joint Surgery,the People's Hospital of Zhejiang Province,Hangzhou 310014,Zhejiang,China;The Center of Bone and Joint Surgery,the People's Hospital of Zhejiang Province,Hangzhou 310014,Zhejiang,China |
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| Abstract: | ![]()
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| Keywords: | Anterior cruciate ligament Hamstring tendon Fixation in inlet of femoral tunnel Absorbable interference screw |
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