一期关节镜下重建交叉韧带

目的探讨一期关节镜下重建前交叉韧带(ACL)及后交叉韧带(PCL)的疗效。方法一期在关节镜下联合重建11例患者ACL及PCL,并修补其它膝关节结构。评估患者术后并发症、膝关节活动度,使用Lysholm评分评估膝关节功能情况。结果 11例均获随访,时间12～36个月。10例可满足日常生活,1例轻度关节僵硬并仍诉膝关节疼痛、不稳感。1例腓总神经损伤感觉运动基本恢复。主动关节活动度:术前平均78.6°±10.3°,术后平均121.0°±10.5°;膝关节Lysholm功能评分:术前平均37.5分±5.3分,术后平均82.5分±6.3分。结论一期在关节镜下联合重建ACL及PCL、修补其它膝关节结构治疗创伤性膝关节脱位是一种有效的方法。

The one-stage reconstruction cruciate ligaments under arthroscopy

Objective To explore the one-stage reconstruction effects of anterior cruciate ligament(ACL) and posterior cruciate ligament(PCL) under arthroscopy.Methods 11 cases were treated with ACL and PCL reconstruction under one-stage arthroscopy and repaired other structures of knee.The outcome was measured from the following aspects:complication,range of the knee and Lysholm scoring.Results 11 cases were followed up from 12 to 36 months.10 patients could meet daily life and there was 1 patient who had slight knee stiffness and had pain and instability.One patient′s feeling and sports function of the general peroneal nerve recovered to the normal level.The movement ranges of the knee were 78.6°±10.3° preoperatively and 121.0°±10.5° postoperatively.Lysholm scores of the knee function was 37.5±5.3 preoperatively and 82.5±6.3 postoperatively.Conclusions One-stage combined reconstructing the ACL and PCL under arthroscopy and repairing other structures of knee is an effective method to treat traumatic dislocation of the knee.