早期关节镜下同种异体骨-腱-骨重建前后交叉韧带急性损伤

目的探讨同种异体骨-腱-骨（B-PT-B）同时重建膝关节前交叉韧带（ACL）、后交叉韧带（PCL）急性损伤的临床疗效。方法在关节镜下早期使用同种异体B-PT-B重建ACL、PCL急性损伤患者22例。结果22例均获随访,时间1618个月。患者屈膝范围从术前7990（85.5±4.5）°提高到术后134140（138±1.5）°,Lysholm膝关节功能评分从术前023（8.6±3.0）分提高到术后8596（92.0±3.6）分（P〈0.01）。未发现感染、移植物断裂、排异反应等。结论早期关节镜下应用同种异体B-PT-B重建ACL、PCL急性损伤,具有手术操作简便、创伤小、免疫排斥反应小、术后并发症少的优点,能最大限度恢复患者膝关节的本体感觉功能及运动功能。

Reconstruction of anterior/posterior cruciate ligament acute injury by arthroscopy with bone-patellar tendon-bone allograft

Objective To investigate the clinical application of reconstruction of anterior/posterior cruciate ligament（ACL/PCL） acute injury by arthroscopy with bone-patellar tendon-bone allograft.Methods ACL/PCL injuries were repaired through arthroscopy with bone-patellar tendon-bone allograft.Results 22 cases were followed up for 1618 months.Through the operation,all patients showed flexion of knee joint improvement from 7990（85.5±4.5）° to 134140（138.0±1.5）°,with Lysholm scores improved from 023（8.6±3.0）to 8596（92.0±3.6）.No infection,graft breakage and rejection reaction was found.Conclusions Reconstruction of ACL/PCL injuries through arthroscopy with bone-patellar tendon-bone allograft has advantages as less damage,immunological rejection and complication,and is associated with maximal function recovery of proprioceptive sensibility and movement.