联合应用半腱肌腱与股薄肌腱越顶重建前交叉韧带

目的 探讨联合应用半腱肌腱与股薄肌腱越顶重建前交叉韧带的外科技术和疗效。方法 自１９９３年１月～１９９６年１２月，１６例前交叉韧带撕裂伤患者接受了联合半腱肌腱与股薄肌腱越顶重建手术治疗。其中男１４例，女２例。随访时间１３～３６个月，平均２０．３个月。结果 按膝关节疗效评定标准，优６例（３７．５％），良８例（５０．０％），可２例（１２．５％），优良率８７．５％。大部分患者在步行和日常生活能力方面均有

Anterior Cruciate Ligament Reconstruction Using Semitendinosus and Gracilis Tendons Over the Top Graft

Objective To evaluate the surgical technique and the results of anterior cruciate liga- ment reconstruction using semitendinosus and gracilis tendons over-the-top repair. Methods 16 patientswere operated upon. The mean period of follow-up was 20. 3 months. Results Each patient was evaluatedusing the knee functional scales, 6 patients (37. 5% ) were clinically rated as excellent, 8 cases(50% ) asgood and 2 cases(12. 5% ) as fair results, there was no poor result. POst-operatively most of the patients hadapparent improvement in function of walking and daily activities. Conclusion The semitendinosus andgracilis tendons over-the-top repair is a sound and effective method of treating anterior cruciate ligament insufficiency. The key points of success of this operation are: I ) maintaining appropriate tension during fixation of both of the grafted tendons, 2) the lateral collateral ligament if injured, must be repaired, 3) in additionPOstoperative functional exercise play a very important role in the outcome.