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关节镜下自体骨-髌腱-骨与半腱肌腱重建后交叉韧带的疗效比较
引用本文:蔡建,郑小飞,丁焕文,涂强. 关节镜下自体骨-髌腱-骨与半腱肌腱重建后交叉韧带的疗效比较[J]. 现代医院, 2011, 11(12): 36-39. DOI: 10.3969/j.issn.1671-332X.2011.12.018
作者姓名:蔡建  郑小飞  丁焕文  涂强
作者单位:1. 汕尾市人民医院,广东汕尾,516600
2. 广州军区广州总医院,广东广州,510010
摘    要:目的比较分析膝关节镜下自体骨-髌腱-骨与半腱肌腱重建后交叉韧带的疗效。方法回顾分析21例膝关节镜下自体骨-髌腱-骨移植、28例自体半腱肌腱移植重建PCL的情况,随访36~89个月,平均58.2个月。采用Lysholm膝关节评分、国际膝关节文献编制委员会分级评估标准(IKDC)和KT-1000评价疗效。结果两组间术后关节稳定性及功能差异均无统计学意义。术后后抽屉试验2例半腱肌、1例自体骨-髌腱-骨阳性。自体骨-髌腱-骨重建组3例(14.3%)膝关节10°屈曲受限;半腱肌腱重建组2例(7.1%)屈曲受限。自体骨-髌腱-骨重建组膝前痛发生率较半腱肌腱组高。结论关节镜下自体骨-髌腱-骨与半腱肌腱移植重建PCL的疗效相同。

关 键 词:后交叉韧带  骨-髌腱-骨  半腱肌腱  关节镜  自体移植

A COMPARATIVE STUDY ON ARTHROSCOPIC POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING BONE-PATELLAR TENDON-BONE AUTOGRAFT AND SEMITENDINOSUS TENDON AUTOGRAFT
CAI Jian,ZHENG Xiaofei,DING Huanwen,et al Shanwei Municipal People's Hospital,Shanwei City,Guangdong Province PRC. A COMPARATIVE STUDY ON ARTHROSCOPIC POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING BONE-PATELLAR TENDON-BONE AUTOGRAFT AND SEMITENDINOSUS TENDON AUTOGRAFT[J]. Modern Hospital, 2011, 11(12): 36-39. DOI: 10.3969/j.issn.1671-332X.2011.12.018
Authors:CAI Jian  ZHENG Xiaofei  DING Huanwen  et al Shanwei Municipal People's Hospital  Shanwei City  Guangdong Province PRC
Affiliation:CAI Jian,ZHENG Xiaofei,DING Huanwen,et al Shanwei Municipal People's Hospital,Shanwei City,Guangdong Province 516600 PRC
Abstract:Objective To compare the clinical results of arthroscopic posterior cructiate ligament(PCL) reconstruction with bone-patellar tendon-bone(B-PT-B) autograft and semitendinosus tendon autograft. Methods Arthroscopic PCL reconstruction were performed in 49 patients in this study,with the use of B-TP-B autograft in 21 patients,semitendinosus tendon autograft in 28 patients;The same arthroscopic technique was used to perform the reconstruction.During follow-up,parameters included International Knee Documentation...
Keywords:Posterior cruciate ligament  Bone-patellar tendon-bone  Semitendinosus tendon  Arthroscopic  Autologous transplant  
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