膝关节镜下行膝关节前交叉韧带断裂重建术的疗效及安全性评价

目的探讨膝关节镜下行膝关节前交叉韧带断裂重建术的疗效以及安全性。方法将我院2009年2月～2011年2月收治的、经临床及关节镜检查确诊为膝关节前交叉韧带断裂患者40例,按照就诊顺序分为对照组与治疗组,每组20例,对照组给予膝关节前交叉韧带断裂进行常规治疗,治疗组采用膝关节镜下行膝关节前交叉韧带断裂重建术。观察比较两组患者术后疗效,并进行安全性评价。结果治疗后,两组患者治疗后的IKDC、Lyrshohn、Tengner评分均明显高于治疗前;治疗组患者的IKDC、Lyrshohn、Tengner值明显高于对照组;kt2000屈膝30度、90度134N下胫骨前后移动距离明显缩小;治疗组患者的kt2000屈膝30度、90度134N下胫骨前后移动距离值明显小于对照组;以上指标比较差异均具有统计学意义(P<0.05)。整个研究过程中未发现相关不良事件,提示膝关节镜下行膝关节前交叉韧带断裂重建术安全性较高。结论膝关节镜下行膝关节前交叉韧带断裂重建术临床疗效确切,能够明显提高患者的生存率,改善生存质量,不良反应小。

Curative effect and safety of arthroscopic reconstruction of anterior cruciate ligament with autologous multi-stranded semitendinous tendon

Objective To study the curative effect and safety of arthroscopicreconstruetion of anterior cruciate ligament with autologous multi-stranded semitendinous tendon. Methods Selected 40 cases of patients with autologous multi-stranded semitendinous tendon from February 2009 to February 2011, randomly divided into control and treatment group, the control group was given the conventional therapy; the treatment group was given the autologous multi-stranded semitendinous ten- don. Results Postoperative IKDC, Lyrsbohn, Tengner score of patients of the two groups were significantly higher than those of before treatment; The treatment group of patients IKDC, Lyrshohn, Tengner value was obviously higher than those in the control group; Kt2000 knees 30 degrees, 90 degrees 134N and moving decrease the distance; The treatment group of patients kt2000 knees 30 degrees, 90 degrees 134N and move the distance value was smaller than the control group; the above indexes were significantly （P 〈 0.05 ）. Conclusion Arthroscopicreconstruction of anterior cruciate ligament with au- tologous multi-stranded semitendinous tendon, can obviously increase the survival rates of patients, and improve the living quality and adverse reaction is small.