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[1]楊振國(guó),苗莉莉,董建文.保留脛骨止點(diǎn)的自體半腱肌和股薄肌肌腱關(guān)節(jié)鏡下單束保殘重建治療前交叉韌帶斷裂[J].中醫(yī)正骨,2016,28(08):35-38.
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保留脛骨止點(diǎn)的自體半腱肌和股薄肌肌腱關(guān)節(jié)鏡下單束保殘重建治療前交叉韌帶斷裂()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年08期
頁(yè)碼:
35-38
欄目:
臨床報(bào)道
出版日期:
2016-08-20

文章信息/Info

作者:
楊振國(guó)1苗莉莉2董建文1
1.山東中醫(yī)藥大學(xué)第二附屬醫(yī)院,山東 濟(jì)南 250014; 2.山東省交通醫(yī)院,山東 濟(jì)南 250031
關(guān)鍵詞:
前交叉韌帶 前交叉韌帶重建 關(guān)節(jié)鏡檢查 半腱肌 股薄肌 脛骨止點(diǎn)
摘要:
目的:觀察保留脛骨止點(diǎn)的自體半腱肌和股薄肌肌腱關(guān)節(jié)鏡下單束保殘重建治療前交叉韌帶斷裂的臨床療效和安全性。方法:2012年9月至2013年6月,采用保留脛骨止點(diǎn)的自體半腱肌和股薄肌肌腱關(guān)節(jié)鏡下單束保殘重建治療前交叉韌帶斷裂患者25例,男14例、女11例。年齡18~52歲,中位數(shù)34歲。左膝12例,右膝13例。術(shù)前前抽屜試驗(yàn)及Lachman試驗(yàn)均陽(yáng)性。受傷至就診時(shí)間2~22個(gè)月,中位數(shù)6個(gè)月。隨訪觀察患者膝關(guān)節(jié)功能改善及并發(fā)癥發(fā)生情況。結(jié)果:術(shù)后3、6、12、18個(gè)月國(guó)際膝關(guān)節(jié)文獻(xiàn)委員會(huì)膝關(guān)節(jié)評(píng)分由術(shù)前(60.59±1.82)分依次升至(78.68±1.94)分、(81.75±2.08)分、(83.55±1.88)分、(85.67±1.76)分,Lysholm膝關(guān)節(jié)評(píng)分由術(shù)前(61.45±1.67)分依次升至(80.14±2.01)分、(82.21±2.21)分、(87.43±1.91)分、(89.56±1.84)分。術(shù)后患者前抽屜試驗(yàn)、Lachman試驗(yàn)均為陰性,膝關(guān)節(jié)屈伸活動(dòng)良好,均無(wú)感染、內(nèi)固定松動(dòng)、重建韌帶再斷裂等并發(fā)癥發(fā)生。結(jié)論:采用保留脛骨止點(diǎn)的自體半腱肌和股薄肌肌腱關(guān)節(jié)鏡下單束保殘重建治療前交叉韌帶斷裂,操作簡(jiǎn)便,固定牢靠,有利于膝關(guān)節(jié)功能的恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

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更新日期/Last Update: 1900-01-01