关节镜下自体髌腱重建前交叉韧带及有关问题的探讨

目的 报告关节镜下自体髌腱中１／３重建前交叉韧带（ＡＣＬ），并分析影响手术效果的因素。方法 采用关节镜下自体骨－髌腱－骨（Ｂ－ＰＴ－Ｂ）中１／３重建ＡＣＬ。手术１５例，男１０例，女５例，年龄２１～４０岁，平均２６岁，术后随访５－１９个月，平均随访１３个月，术前抽屉试验１５例均阳性，术后２例阳性，轴移试验３例阳性，术后均消失，Ｌａｃｈｍａｎ试验有５例阳性，术后２例弱阳性，膝前疼痛３例，结果 按照日本

Arthroscopic Reconstruction of Anterior Cruciate Ligament Using Autogenous Patellar Tendon and Evaluation of Clinical Results

Objective To report the methods of arthroscopic reconstruction of anterior cruciate ligament (ACL) by bone-patellar tendon-bone (B-PT-B) and to evaluate the clinical resutls Methods A technique of arthroscopic reconstruction of the anterior cruciate ligament using the mid-one third of the autologous bone-patellar tendon-bone strip was used in 15 cases Including 10 females and 5 males,with an age range of 21 to 42 years (mean 21 years) Followup period extended from 5 to 19 months (mean 13 months)The anterior drawer test was positive in 15 cases preoperatively and 2 cases postoperatively The pivot shift test was positive in 3 cases preoperatively and negative in all postoperatively The Lachmans test was positive in 15 cases preoperatively and 2 cases weakly positive after the operation Three cases still had anterior patellar pain]Results According to the criteria of knee joint function evaluation set up by the Japenese Association of Orthopaedics , excellent results were found in 6 patients, good in 6 and fair in 3 The excellent and good rate was 800% Conclusions The procedure not only has the advantage of minimal injury, rapid rehabilitation but also can deal with the other pathological conditions within knee joint at one sitting Reconstruction of ACL under arthroscopy is worthy to be used widely