| Tibial-inlay技术重建合并胫骨干骨折膝关节后交叉韧带断裂8例 |
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| 引用本文： | 张义龙,李宁,李志怀,刘建丰,宋有鑫,孙志杰.Tibial-inlay技术重建合并胫骨干骨折膝关节后交叉韧带断裂8例[J].中国组织工程研究与临床康复,2011,15(30). |
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| 作者姓名： | 张义龙 李宁 李志怀 刘建丰 宋有鑫 孙志杰 |
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| 作者单位： | 承德医学院附属医院骨外一科,河北省承德市,067000 |
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| 基金项目： | 承德市科技局指导计划项目(200922077):自体骨髓移植在腱-骨愈合中的作用，承德市科技局指导计划项目(200721064):关节镜下Inlay法重建膝后交叉韧带的临床研究 |
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| 摘 要： | 背景:胫骨干骨折伴有同侧的后交叉韧带损伤在行内固定后,行经胫骨隧道技术重建后叉韧带时常会引起金属内固定物与胫骨隧道发生冲突,使内固定物应用受到一定限制.目的:评估Tibial-inlay技术重建合并胫骨干骨折的膝关节后交叉韧带效果.方法:选择胫骨干骨折合并同侧后交叉韧带断裂患者8例,于胫骨骨折置入金属植入物内固定后1~6个月在关节镜辅助下行Tibial-inlay技术重建后交叉韧带,重建前、随访时记录膝关节Lysholm功能评分及胫骨后移程度.结果与结论:随访12~24个月,重建前患侧胫骨后移10~15 mm者 5例,>15 mm 者3例;末次随访时< 5 mm者 6例,5~10 mm 者2例;末次随访Lysholm膝关节功能评分由重建前的63.50±5.83提高到87.50±2.33,差异有显著性意义(P < 0.05).表明Tibial-inlay技术重建胫骨干骨折合并后交叉韧带损伤具有不受胫骨近端骨隧道的影响,对胫骨内固定干扰小,固定可靠的优点.
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| 关 键 词： | 膝关节 后交叉韧带 Tibial-inlay技术 关节镜 骨折 |
Tibial-inlay technique used in reconstruction of posterior cruciate ligament with concomitant ipsilateral tibial shaft fracture in 8 cases |
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| Zhang Yi-long,Li Ning,Li Zhi-huai,Liu Jian-feng,Song You-xin,Sun Zhi-jie.Tibial-inlay technique used in reconstruction of posterior cruciate ligament with concomitant ipsilateral tibial shaft fracture in 8 cases[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(30). |
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| Authors: | Zhang Yi-long Li Ning Li Zhi-huai Liu Jian-feng Song You-xin Sun Zhi-jie |
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| Institution: | Zhang Yi-long,Li Ning,Li Zhi-huai,Liu Jian-feng,Song You-xin,Sun Zhi-jie Department of Orthopedics,the Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei Province,China |
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| Abstract: | BACKGROUND:The reconstruction of posterior cruciate ligament(PCL) by tibial tunnel method is limited in treating PCL tear with concomitant ipsilateral tibial shaft fracture which is operated by internal fixation firstly,because there is the internal fixation in the proximal tibia,which can interfere with the making of tibial tunnel. OBJECTIVE:To evaluate the Tibial-inlay technique effects on reconstruction of PCL combined with concomitant ipsilateral tibial shaft fracture. METHODS:Eight knees with PCL tear ... |
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