自体与同种异体肌腱重建前交叉韧带

背景：前交叉韧带损伤修复采用自体腘绳肌腱还是同种异体肌腱目前在临床上的应用存在争议。目的：分析关节镜下自体肌腱与同种异体肌腱重建前交叉韧带的临床疗效。方法：前交叉韧带断裂重建患者123例，根据移植物的不同将患者分为自体肌腱组63例和异体肌腱组60例。治疗后随访进行Lachman试验、Lysholm评分评估疗效。结果与结论：患者均经过8个月以上随访。两组患者术后膝关节稳定性均较治疗前得到明显好转，两组患者治疗后Lysholm评分、Lachman试验结果均显著好于治疗前，末次随访组间比较差异无显著性意义（P 〉0.05）。结果说明自体肌腱与同种异体肌腱重建前交叉韧带的疗效相近，医师应根据自身经验和患者情况灵活使用。

Autologous and allogeneic tendons for anterior cruciate ligament reconstruction

BACKGROUND：There is a controversy in the clinical anterior cruciate ligament reconstruction using autologous hamstring tendon or tendon alograft. OBJECTIVE：To compare the clinical results of anterior cruciate ligament reconstruction with tendon alograft and autograft. METHODS： Totaly 123 patients with injured anterior cruciate ligament received anterior cruciate ligament reconstruction and they were divided into two groups： 63 cases in autograft group and 60 cases in alograft group. The postoperative effects were assessed by the Lysholm score and Lachman test. RESULTS AND CONCLUSION： Al the patients were folowed for more than 8 months. After anterior cruciate ligament reconstruction, the stability of the knee joint, Lysholm scores and Lachman test results were al improved significantly in the two groups; while there was no difference between the two groups at the last folow-up （P 〉 0.05）. The clinical outcomes of anterior cruciate ligament reconstruction with alograft and autograft are almost similar; therefore, surgeons should select ideal graft according to the patient’s condition and surgeon’s experience.