| 关节镜下同种异体骨-髌腱-骨重建前交叉韧带的临床疗效 |
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| 引用本文： | 徐琦,杨柳,郭林,戴刚,段小军,陈光兴.关节镜下同种异体骨-髌腱-骨重建前交叉韧带的临床疗效[J].第三军医大学学报,2009,31(5). |
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| 作者姓名： | 徐琦 杨柳 郭林 戴刚 段小军 陈光兴 |
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| 作者单位： | 第三军医大学两南医院关节外科中心,重庆,400038 |
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| 摘 要： | 目的 评价关节镜下应用同种异体骨-髌腱-骨重建膝关节前交叉韧带的临床疗效.方法 2005年12月至2007年12月,我科住院患者经关节镜检查证实为前交叉韧带(anterior crueiate ligament,ACL)断裂者125例,获得随访的患者109例,所有患者均于关节镜下行同种异体骨-髌腱-骨重建膝关节前交叉韧带术.疗效评估采用:KTl000,Lysholm,Irrgang,改良larson,国际膝关节评分委员会(international knee documentation committee,IKDC)韧带评分系统.结果 所有患者术后随访6～24个月,平均16.9个月,所有患者随访时异体移植物位置良好,术后所有患者KT.1000检查双侧膝关节前向松弛度差值<3 mm,IKDC评分活动水平正常或接近正常98例(89.9%),Lysholm评分从(50.2±4.3)分提高至(88.4±6.4)分,lrrgang评分从(43.4±4.3)分提高争(82.6±5.3)分,Larson评分从(41.4±4.8)分提高至(88.5±4.3)分,和术前相比均有显著性意义(P<0.01).所有患者均无严重并发症发生.结论 同种异体移植物是前交叉韧带重建良好的选择之一,关节镜下同种异体骨-髌腱-骨移植物重建前交叉韧带手术能使膝关节功能获得良好的恢复.
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| 关 键 词： | 关节镜 前交义韧带重建 骨骨-髌腱-骨 同种异体移植物 |
Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone allograft |
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| XU Qi,YANG Liu,GUO Lin,DAI Gang,DUAN Xiao-jun,CHEN Guang-xing.Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone allograft[J].Acta Academiae Medicinae Militaris Tertiae,2009,31(5). |
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| Authors: | XU Qi YANG Liu GUO Lin DAI Gang DUAN Xiao-jun CHEN Guang-xing |
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| Institution: | XU Qi,YANG Liu,GUO Lin,DAI Gang,DUAN Xiao-jun,CHEN Guang-xing(Center of Joint Surgery,Southwest Hospital,Third Military Medical University,Chongqing 400038,China) |
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| Abstract: | Objective To observe the clinical outcome of arthroscopic anterior cruciate ligament(ACL) reconstruction with bone-patellar tendon-bone(B-PT-B) allograft.MethodsTotally 125 patients with ACL ruptures received ACL reconstruction with B-PT-B allograft between December 2005 and December 2007,and 109 were followed up.Clinical outcome was evaluated according to International Knee Documentation Committee(IKDC),Lysholm knee,Irgang and modified Larson scores.ResultsThe patients were followed up for 6 to 24 months(m... |
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| Keywords: | arthroscopy anterior cruciate ligament reconstruction bone-patellartendon-bone allograft |
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