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关节镜下应用endo-button系统重建膝关节交叉韧带的临床效果
引用本文:李思鸿,张建武,陈铁柱,谭财福,刘晶.关节镜下应用endo-button系统重建膝关节交叉韧带的临床效果[J].东南大学学报(医学版),2011,30(3).
作者姓名:李思鸿  张建武  陈铁柱  谭财福  刘晶
作者单位:1. 湖南省人民医院,湖南,长沙,410005
2. 南华大学,医学院,湖南,衡阳,421001
摘    要:目的:探讨关节镜下应用内置纽扣(endo-button)系统重建膝关节交叉韧带的临床效果.方法:关节镜下利用自体肌腱或异体胫前肌腱,应用endo-button系统治疗36例膝关节交叉韧带损伤患者.结果:对患者进行Lysholm、Tegner和IKDC膝关节功能评分,前交叉韧带(ACL)损伤患者术前平均为(51.8±3.7)、(2.4±0.21)和(63.6±5.2)分,术后提高到(90.3±2.3)、(6.7±0.16)和(95.6±3.4)分;后交叉韧带(PCL)损伤患者术前平均为(56.7±3.5)、(2.8±0.24)和(67.2±6.1)分,术后提高到(93.1±3.2)、(6.9±0.22)和(96.9±4.2)分,差异均有统计学意义(P<0.01).经3、6、12个月X线照片及 MRI复查均未见关节间隙变窄,无骨隧道扩大、ACL髁间窝撞击及挤压螺钉松脱.结论:关节镜下应用endo-button系统重建膝关节交叉韧带能最大限度恢复膝关节功能,术后并发症少.

关 键 词:关节镜  交叉韧带  endo-button系统

Clinical effect of endo-button system to knee cruciate ligament reconstruction
LI Si-hong,ZHANG Jian-wu,CHEN Tie-zhu,TAN Cai-fu,LIU Jing.Clinical effect of endo-button system to knee cruciate ligament reconstruction[J].Journal of Southeast Univ: Medical Sci Ed,2011,30(3).
Authors:LI Si-hong  ZHANG Jian-wu  CHEN Tie-zhu  TAN Cai-fu  LIU Jing
Institution:LI Si-hong1,ZHANG Jian-wu2,CHEN Tie-zhu2,TAN Cai-fu2,LIU Jing2(1.People's Hospital of Hunan Province,Changsha 410005,China,2.Medical College,University of South China,Hengyang 421001,China)
Abstract:Objective: To evaluate the clinical effect of endo-button system to knee cruciate ligament reconstruction.Methods: Endo-button system was applied to treatment of 36 patients with knee cruciate ligament injury.Results: The post-operative scores were higher than the pre-operative scores(P<0.01).After 3,6 and 12 months,no bone joint space narrow,tunnel expansion,ACL condyle collision or extrusion screws loose were seen by X-ray photographs and MRI.Conclusion: Using endo-button system to reconstruct the knee cr...
Keywords:arthroscopy  cruciate ligament  endo-button system  
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