| 关节镜下自体肌腱同时联合重建膝前、后交叉韧带的临床研究 |
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| 引用本文： | 俸志斌.关节镜下自体肌腱同时联合重建膝前、后交叉韧带的临床研究[J].微创医学,2011,6(4):315-317. |
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| 作者姓名： | 俸志斌 |
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| 作者单位： | 广西中医学院第一附属医院骨关节创伤、手外科,南宁市,530023 |
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| 摘 要： | 目的探讨用髌腱复合体和腘绳肌腱联合重建膝关节膝前、后交叉韧带复合损伤手术方法和手术疗效。方法确诊为前、后交叉韧带同时损伤的患者16例,其中合并内侧副韧带损伤6例,后外侧复合体损伤4例,半月板损伤6例,于伤后2～6周在关节镜下行自体移植物单束ACL和PCL联合重建术,用髌腱复合体中1/3重建ACL,腘绳肌腱重建PCL,同期用股二头肌腱的1/3重建PLC,界面可吸收挤压螺钉和横穿钉固定。结果术后随访13～28个月,平均23个月,术前Lysholm膝关节评分为0～22分,平均(8.7±3.1)分,术后升至78～91分(平均86.1±4.8分)。术前16例采用国际膝关节文件编制委员会(IKDC)综合评定为异常(C级),术后改进为随访时正常(A级)14例,接近正常(B级)2例,14例恢复伤前运动水平。术后6～8个月基本恢复正常工作和生活,12个月可以剧烈运动。结论关节镜下自体肌腱同时联合重建膝前、后交叉韧带能较好地恢复膝关节的稳定性和功能。
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| 关 键 词： | 膝损伤 前交叉韧带 后交叉韧带 关节镜 |
Combined reconstruction of anterior cruciate ligament and posterior cruate ligament with autogenous tendons under arthroscopy |
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| FENG Zhi-bin.Combined reconstruction of anterior cruciate ligament and posterior cruate ligament with autogenous tendons under arthroscopy[J].Minimally Invasive Medicine Journal,2011,6(4):315-317. |
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| Authors: | FENG Zhi-bin |
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| Institution: | FENG Zhi-bin(Department of Orthopaedic Trauma and Hand Surgery,the First Affiliated Hospital of Guangxi Traditional Chinese Medical University,Nanning 530023,China) |
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| Abstract: | Objective To explore the technique and outcome of procedure of B-PT-B,semitendinosus/gracili tendons for combined reconstruction of anterior cruciate ligament(ACL) and posterior cruate ligament(PCL).Method Sixteen diagnosed patients of ACL and PCL were enrolled,including 6 MCL patients,4 PLC patients,and 10 meniscus patients.Patients were reconstructed of combined ACL and PCL under arthroscopy 2-6 weeks after injury.1/3 of Autogenous B-PT-B was performed only for ACL,hamstring combined autogenous semitendin... |
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| Keywords: | Knee injuries Anterior cruciate ligament Posterior cruciate ligament Arthroscopy |
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