前交叉韧带损伤早期的关节镜下重建 |
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引用本文: | 唐剑锋,吴向阳,李宝军,徐海涛,柴智勇.前交叉韧带损伤早期的关节镜下重建[J].医疗保健器具,2010,17(4):22-23. |
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作者姓名: | 唐剑锋 吴向阳 李宝军 徐海涛 柴智勇 |
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作者单位: | 湖南省第二人民医院骨关节科,湖南,长沙,410000 |
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摘 要: | 目的描述前交叉韧带损伤早期的关节镜下重建,总结其初期临床结果。方法2007年12月至2008年11月,25例前交叉韧带损伤患者采用4股自体半腱肌半膜肌肌腱重建前交叉韧带的手术方法。移植物采用圆头,软螺纹空心螺钉沿前内侧入口固定。根据Macnab和Lysholm评分标准进行膝关节功能评估。结果术后随访6个月,末次随访时,伸膝活动均正常,1例屈膝受限30°。根据Macnab分类标准,患者总体满意率为96%。患者膝关节平均活动范围是0°~130°。膝关节功能按Lysholm评分,术前(57.48±6.27),术后(95.81±1.25),差异有统计学意义。结论前交叉韧带损伤早期的关节镜下重建能起到良好的临床效果。
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关 键 词: | 膝关节 前交叉韧带 修复外科手术 关节镜检查 |
Reconstruction of Anterior Cruciate Ligament Injuries with Arthroscope |
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Institution: | TANG Jianfeng, WU Xiangyang, LI Baojun, XU Haitao, CAI Zhiyong (Department of Bone and Joint, the Second People "s Hospital of Hunan Province, Changsha 410000, China) |
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Abstract: | Objective To describe the method of anterior cruciate ligament reconstruction with arthroscope and to evaluate short-term outcomes. Methods Twenty-five cases of ACL injuries were treated with one-bundle ACL reconstruction with four strands of autogenous semitendinosus tendon. The gratis were fixed with interference screw. The patients were followed up for 6 month and evaluated ac- cording to Macnab and Lysholm rating scales. Results At the last follow-up, all patients showed normal knee extension. One patient had 30° of flexion limitation. According to the Macnab score, the patients' average degree of satisfaction was 96%, and the average knee range of activities was 0° - 130° . The Lysholm knee function score was (95.81 ± 1.25) after operation, showing significant difference when compared with that before operation (57.48 ± 6.27). Conclusion Reconstruction of anterior cruciate ligament injuries with arthroscope can play a good clinical effect. |
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Keywords: | Knee joint ACL Reconstructive surgical procedures Arthroscopy |
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