骨—髌腱—髌前骨膜—肌四头肌腱条骨块嵌入法重建前交叉韧带

为充分有效利用髌腱组织重建前交叉韧带,确保移植关节内段均为髌腱组织,增加移植物的有效长度,同时在关节外矫正前内旋不稳及改进移植物的固定方法,作者设计应用骨－髌腱－髌前骨膜－股四头肌腱条游离移植骨块嵌入法重建ＡＣＬ３８例。术后经平均２年７个月随访,效果良好,优良率８９．７％。

Reconstruction of anterior cruciate ligament using bone-patellar tendon-prepatellar periosteum free graft with impacting bone technique

In order to make full and effective use of patellar tendon (middle one-third) during reconstruction of anterior cruciate ligament, we designed bone-patellar tendon-tendon of quadriceps femoris free graft with impacting bone technique and 38 cases were treated by this method. Follow-up for 2 years and 7 months showed that the clinical results were good. The exellent and good rate was 89.7%. Clinical results indicated that the fixation of this reconstructive method was firm and grafts in the joint cavity were patellar tendon tissue. The anterior medial rotatory instability of the knee joint could be corrected with the same graft that have enough length. The experience of acute rupture of anterior cruciate ligament and the rupture of anterior cruciate ligament combined with injury of meniscus were reported.