关节镜下重建膝关节新鲜与陈旧前交叉韧带训练伤疗效对比分析

目的比较部队官兵体能训练所致膝关节前交叉韧带(ACL)损伤手术时机对疗效的影响。方法关节镜下对平均病程(5±0.8)周27例新鲜组和平均病程(76±10.5)周19例陈旧组ACL损伤,均以半腱肌和股薄肌为替代物进行手术重建。结果按Lysholm评分,新鲜组和陈旧组ACL损伤的优良率分别为92.5%和78.9%,两组比较差异有显著统计学意义(P<0.01)。结论体能训练所致膝关节交叉韧带损伤早期关节镜手术重建的疗效优于晚期重建。

Comparison of the clinical outcome of knee joint reconstruction between fresh and old military training injury of ACL with arthroscopy

Objective To compare the clinical outcome of knee joint reconstruction of different operative period in treatment of military training injury of ACL. Methods ACL injuries were treated with knee joint reconstruction with semitendinosus tendon and gracilis tendon.27 patients in the fresh group were treated in(5±0.8) weeks and 19 patients in the old group were done in(76±10.5) weeks. Results According to Lysholm knee function score,the excellent and good rates were 92.5% in the fresh group and 78.9% in the old group.The difference showed statistical significance(P<0.01). Conclusion Reconstruction of knee joint in military training with anthroscope can play better clinical effect in the early time than in the late time.