自体四股腘绳肌腱Rigidfix和Intrafix固定重建前交叉韧带

背景：以自体腘绳肌腱rigidfix、Intrafix固定重建前交叉韧带是现在较流行的手术方式,但缺乏中长期临床疗效的评价。目的：评估股骨端应用Rigidfix、胫骨端应用Intrafix固定自体腘绳肌腱重建前交叉韧带的中期临床疗效。方法：对39例前交叉韧带损伤患者在关节镜下行自体4股腘绳肌腱Rigidfix和Intrafix固定重建前交叉韧带,进行2年以上中期随访,并应用Lyshlom、IKDC、Tegner评分对治疗后临床疗效进行系统的评价。结果与结论：经过至少2年的随访发现应用Rigidfix和Intrafix内固定患者在IKDC、Lysholm评分明显高于治疗前(P < 0.01)。证实在关节镜下应用自体4股腘绳肌腱Rigidfix和Intrafix重建前交叉韧带具有良好的中期临床疗效,但若大规模的使用,目前尚缺乏长期的临床随访结果。

Autologous hamstring Rigidfix and Intrafix fixation for reconstruction of anterior cruciate ligament

BACKGROUND:Autologous hamstring Rigidfix and Intrafix has been frequently used to fix and reconstruct anterior cruciate ligament. However, it lacks of evaluation of middle and long period of clinical outcomes.OBJECTIVE:To retrospectively evaluate the medium term clinical outcomes of anterior cruciate ligament reconstruction with hamstring tendon autograft by Rigidfix and Intrafix. METHODS:The 39 cases of anterior cruciate ligament injury were subjected to anterior cruciate ligament reconstruction with hamstring tendon autograft by Rigidfix and Intrafix under arthroscope. They were followed up for 2 years or more. The clinical outcomes were evaluated using Lyshlom score scale, IKDC2000 and Tegner score scale. RESULTS AND CONCLUSION:In the follow-up, IKDC2000 score and Lyshlom score were significantly increased following Rigidfix and Intrafix fixation than before treatment (P < 0.01). Results indicate satisfactory clinical outcomes of anterior cruciate ligament reconstruction with hamstring tendon autograft by Rigidfix and Intrafix. However, long-term follow up is needed to verify the feasibility of extensive application.