应用半腱肌、股薄肌和髌韧带在关节镜下重建前交叉韧带65例

目的 探讨应用髌韧带（bone-patellar tendon-bone,BTB)和半腱肌、股薄肌（bone-ham-string-bone,BHB)在关节镜下修复前交叉韧带（anterior cruciate ligament,ACL)损伤的临床疗效。手术要点及关节功能改善情况。方法 在膝关节镜直视下，选用自体BTB和BHB行ACL竽建手术65例，其中BTB重建30例，BHB重建31例，股四头肌腱重建4例，结果 随访时间1个月-3年，手术前Lachman和Piveot shift试验从阳性转为阴性，按日本骨科学会膝关节疗效评定标准，优48例，良7例，可10例，本组病人2个月后均恢复原来日常活动，半年后恢复体育活动，结论 应用BTB、BHB在关节镜下修复ACL损伤，术中等长点的选择是手术关键，坚强固定是早期康复训练的前提。

Reconstruction of anterior cruciate ligament under arthroscopy using patellar ligament and hamstring ligament in 65 cases

Objective To observe the function recovery of anterior cruciate ligament under arthroscopy using patellar ligament and hamstring ligament. Methods A total of 65 cases, of which 30 cases were with BTB, 31 with BHB and 4 with quadriceps tendon were reconstructed under arthroscopy. Results The results showed that all cases attained excellent results. Lanchman test and pivot shift test changed from positive to negative with 1 month to 3 years of follow up. And all patients return to primary life activity in 2 months and sports in 6 months after ACL reconstruction. Conclusions The key to immediate rahabilitation and operative success is a firm fixation and a right select of isometric point.