| LARS韧带重建前交叉韧带的近期疗效 |
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| 引用本文： | Guo L,Chen H,He R,Yang L,Duan X,Huang H,Zheng L,Dai W. LARS韧带重建前交叉韧带的近期疗效[J]. 中国修复重建外科杂志, 2011, 25(8): 921-924 |
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| 作者姓名： | Guo L Chen H He R Yang L Duan X Huang H Zheng L Dai W |
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| 作者单位： | 第三军医大学西南医院关节外科中心; |
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| 摘 要： | 目的探讨LARS韧带重建前交叉韧带(anterior cruciate ligament,ACL)的手术方法和近期疗效。方法回顾分析2008年11月-2010年4月于关节镜下采用LARS韧带重建并获完整随访的80例ACL损伤患者临床资料。男51例,女29例;年龄17～43岁,平均29.2岁。致伤原因:运动伤63例,交通事故伤14例,重物砸伤3例。左膝43例,右膝37例。病程10 d～11个月。前抽屉试验、Lachman试验和轴移试验均为阳性。术前Lysholm、Irgang、Larson评分分别为(55.4±5.7)、(48.3±6.2)、(54.8±7.4)分,国际膝关节评分委员会(IKDC)评分均低于正常值。MRI检查显示ACL损伤。术中保留ACL残余纤维束。结果术后切口均Ⅰ期愈合,无感染、下肢深静脉血栓形成等术后早期并发症发生。80例均获随访,随访时间7～24个月,平均16.8个月。术后3例股骨侧螺钉外露,2例胫骨侧螺钉松动,1例伸膝受限,均对症处理。随访期间均无LARS韧带断裂、关节纤维化等并发症发生。末次随访时前抽屉试验阳性2例,Lachman试验阳性3例,轴移试验阳性3例。术后6周及末次随访时Lysholm、Irgang、Larson评分与术前比较,差异均有统计学意义(P<0.05)。术后6周及末次随访时IKDC评分正常率分别为43.75%(35/80)及97.50%(78/80)。结论 LARS韧带黏弹性较差,术中需要在偏伸直位固定避免屈曲受限,屈曲位允许移植物有轻微松弛,掌握其特殊手术技巧后重建ACL能获得较好的近期疗效。
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| 关 键 词： | 前交叉韧带 LARS韧带 韧带重建 近期疗效 |
Short-term effectiveness of anterior cruciate ligament reconstruction with LARs artificial ligament |
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| Guo Lin,Chen Hao,He Rui,Yang Liu,Duan Xiaojun,Huang Hongbo,Zheng Lu,Dai Wei. Short-term effectiveness of anterior cruciate ligament reconstruction with LARs artificial ligament[J]. Chinese journal of reparative and reconstructive surgery, 2011, 25(8): 921-924 |
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| Authors: | Guo Lin Chen Hao He Rui Yang Liu Duan Xiaojun Huang Hongbo Zheng Lu Dai Wei |
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| Affiliation: | GUO Lin,CHEN Hao,HE Rui,YANG Liu,DUAN Xiaojun,HUANG Hongbo,ZHENG Lu,DAI Wei. Center for Joint Surgery,Southwest Hospital,Third Military Medical University,Chongqing,400038,P.R.China |
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| Abstract: | Objective To investigate the surgical technique and short-term effectiveness of anterior cruciate ligament (ACL) reconstruction with LARS arti cial ligament. Methods Between November 2008 and April 2010, eighty patients with ACL injury were treated with LARS arti cial ligament under arthroscope and successfully followed up. There were 51 males and 29 females, aged from 17 to 43 years with an average of 29.2 years. The injuries were caused by sport in 63 cases, tra c accident in 14 cases, and bruise in 3 cas... |
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| Keywords: | Anterior cruciate ligament LARS arti cial ligament Ligament reconstruction Short-term effectiveness |
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