| 关节镜下保留残端单束重建后交叉韧带疗效观察 |
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| 引用本文： | 袁雪峰,游洪波,王为,李文凯,刘朝旭,杨勇,张英驰,吴华.关节镜下保留残端单束重建后交叉韧带疗效观察[J].骨科,2016,7(2):87-89. |
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| 作者姓名： | 袁雪峰 游洪波 王为 李文凯 刘朝旭 杨勇 张英驰 吴华 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院骨科, 武汉,430030 |
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| 基金项目： | 国家自然科学基金(51077065) |
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| 摘 要： | 目的：观察关节镜下保留残端单束重建后交叉韧带（posterior cruciate ligament, PCL）的临床疗效。方法回顾性分析自2010年1月至2013年1月对18例PCL损伤患者在我院行关节镜下保留残端PCL单束重建术。记录并比较患者的Lysholm和国际膝关节文献委员会膝关节评估表（International Knee Documentation Committee, IKDC）评分。结果本组患者随访时间24~42个月，平均31.2个月。患者均未发生严重并发症。患者膝关节Lysholm评分由术前的（58.4±4.5）分提高到术后的（91.6±3.1）分，差异有统计学意义（P＜0.05）。IKDC评分由术前的（52.1±7.6）分提高到术后的（88.3±6.2）分，差异有统计学意义（P＜0.05）。结论关节镜下保留残端单束重建PCL术后临床疗效良好，功能满意。
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| 关 键 词： | 后交叉韧带 关节镜检查 修复外科手术 |
| 收稿时间： | 2015/3/22 0:00:00 |
| 修稿时间： | 2015/7/16 0:00:00 |
Effectiveness of arthroscopic single-bundle posterior cruciate ligament reconstruction with remnant preservation |
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| YUAN Xuefeng,YOU Hongbo,WANG Wei,LI Wenkai,LIU Chaoxu,YANG Yong,ZHANG Yingchi and WU Hua.Effectiveness of arthroscopic single-bundle posterior cruciate ligament reconstruction with remnant preservation[J].Orthopaedics,2016,7(2):87-89. |
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| Authors: | YUAN Xuefeng YOU Hongbo WANG Wei LI Wenkai LIU Chaoxu YANG Yong ZHANG Yingchi and WU Hua |
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| Institution: | Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China,Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China,Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China,Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China,Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China,Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China,Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China and Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China |
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| Abstract: | Objective To evaluate the clinical effectiveness of arthroscopic single?bundle posterior cruciate ligament (PCL) reconstruction with remnant preservation. Methods A total of 18 patients underwent arthroscopic PCL reconstruction with remnant preservation between January 2010 and January 2013. The pa?tients were assessed by means of the Lysholm score and IKDC subjective knee score. Results All patients were followed up for 31.2 months on average (range, 24?42 months). Clinical outcomes and posterior instability were improved significantly. The mean Lysholm score was increased from 58.4 ± 4.5 to 91.6 ± 3.1, and the mean IKDC subjective knee score from 52.1 ± 7.6 to 88.3 ± 6.2. Conclusion Arthroscopic single?bundle PCL recon?struction with remnant preservation resulted in satisfactory clinical and functional outcomes. |
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| Keywords: | Posterior cruciate ligament Arthroscopy Reconstructive surgical procedures |
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