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膝关节前交叉韧带翻修及影响首次重建疗效的相关因素分析
引用本文:张海军,李世平,肖建斌,郑小飞.膝关节前交叉韧带翻修及影响首次重建疗效的相关因素分析[J].中国现代医生,2012,50(12):53-54.
作者姓名:张海军  李世平  肖建斌  郑小飞
作者单位:1. 广东省河源市源城区人民医院骨科,广东河源,517000
2. 广州军区总医院骨病关节科,广东广州,510000
摘    要:目的从前交叉韧带翻修病例回顾总结影响关节镜下前交叉韧带重建疗效的相关因素。方法回顾性分析135例前交叉韧带翻修病例的相关临床资料,进行膝关节Lysholm评分综合分析。结果膝关节继发性疾病;骨隧道位置;移植物的张力;髁间窝撞击;所移植肌腱的固定;术后康复训练6大因素是影响关节镜下膝关节前交叉韧带重建疗效的关键因素。结论高度重视以上6个方面因素并正确处理,能有效提高关节镜下膝关节前交叉韧带重建的成功率和治疗效果。

关 键 词:前交叉韧带  重建疗效  翻修

Analysis of correlation factors to the anterior cruciate ligament reconstruction
Authors:ZHANG Haijun  LI Shiping  XIAO Jianbin  ZHENG Xiaofei
Institution:1.Department of Orthopedics,Heyuan Yuancheng District People’s Hospital in Guangdong Province,Heyuan 517000,China;2.Department of Bone Joint Branch,the General Hospital of Guangzhou Military Region,Guangzhou 510000,China
Abstract:Objective To analyze the related-factors of arthroscopic anterior cruciate ligament(ACL) reconstruction.Methods Clinical data about 135 patients of arthroscopic ACL revision were collected and the Lysholm knee score were assessed.Results There were six major factors that affect the clinical efficacy of arthroscopic ACL reconstruction: secondary cases of knee joint;tunnel placement;transplants tension;intercondylar notch impact;the fixed tendon graft and postoperative rehabilitation training.Conclusion Attaches great importance to the above six factors and correct treatment can improve the success rate and clinical efficacy of arthroscopic ACL reconstruction.
Keywords:Anterior cruciate ligament  Reconstruction  Revision
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