自体同侧腓骨长肌腱在青年前交叉韧带重建中的应用与疗效

目的 探讨自体同侧腓骨长肌腱在青年前交叉韧带重建的可行性及其早期疗效。方法 收集我科自2013年 5月至 2018年5月采用关节镜下自体腓骨长肌腱重建膝关节前交叉韧带40例,男35例,女5例,年龄18～35岁,平均年龄24.8岁,手术取自体同侧腓骨长肌重建前交叉,股骨端用可调节带袢锁扣钛板固定,胫骨端以界面螺钉固定,术后评估包括临床检查, Lysholm膝关节功能评分,AOFAS踝关节功能评分。结果 40例患者均获随访,随访时间12～36月,平均随访时间25月, Lysholm膝关节功能术后末次随访的评分为(92.65±0.44),高于术前的(50.65±0.68),P＜0.01。结论 自体同侧腓骨长肌腱在青年前交叉韧带重建的应用疗效早期令人满意,取腓骨长肌腱后对踝关节功能无明显影响。

Application and effect of autogenous ipsilateral peroneus longus tendon in the reconstruction of anterior cruciate ligament in youth

Objective To explore the possibility and early effect of autogenous ipsilateral peroneus longus tendon in the reconstruction of anterior cruciate ligament in youth.Methods From May 2013 to May 2018, 40 cases of ACL reconstruction with autogenous peroneus longus tendon under arthroscopy were collected, including 35 males and 5 females, aged 18-35 years old, with the average age 24.8 years old. The anterior cross was reconstructed with autogenous peroneus longus tendon. The femoral end was fixed with adjustable tight rope. The tibial end was fixed with interface screw. The postoperative evaluation included clinical examination, Lysholm knee function score and AOFAS ankle function score.Results Forty patients were followed up for 12-36 months, with an average follow-up of 25 months. Lysholm knee function score of the last follow-up (92.65 ± 0.44) was higher than that before the operation (50.65 ± 0.68), (P<0.05).Conclusion The application of autogenous ipsilateral peroneus longus muscle in the reconstruction of anterior cruciate ligament in young patients is satisfactory in the early stage, and there is no significant effect on ankle function after the removal of the peroneus longus tendon.