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[1]趙進(jìn)征,吳旭東,黃小剛,等.同種異體肌腱移植治療膝關(guān)節(jié)后外側(cè)角損傷[J].中醫(yī)正骨,2016,28(09):40-42.
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同種異體肌腱移植治療膝關(guān)節(jié)后外側(cè)角損傷()
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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09期
頁(yè)碼:
40-42
欄目:
臨床報(bào)道
出版日期:
2016-09-20

文章信息/Info

作者:
趙進(jìn)征吳旭東黃小剛明文義曾斌
浙江省舟山市中醫(yī)院,浙江 舟山 316000
關(guān)鍵詞:
膝關(guān)節(jié) 膝損傷 后外側(cè)角損傷 韌帶重建術(shù) 移植同種 肌腱
摘要:
目的:觀察同種異體肌腱移植治療膝關(guān)節(jié)后外側(cè)角損傷的臨床療效和安全性。 方法:2010年1月至2015年3月,采用同種異體肌腱移植治療膝關(guān)節(jié)后外側(cè)角損傷患者7例,男6例、女1例。年齡24~65歲,中位數(shù)45歲。左膝4例,右膝3例。合并傷包括半月板損傷5例,后交叉韌帶損傷3例,前、后交叉韌帶損傷2例。病程1~29 d,中位數(shù)15 d。術(shù)后隨訪觀察并發(fā)癥發(fā)生、膝關(guān)節(jié)活動(dòng)度及功能改善情況。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間12~24個(gè)月,中位數(shù)19個(gè)月。均無(wú)感染、排斥反應(yīng)等并發(fā)癥發(fā)生。膝關(guān)節(jié)活動(dòng)度由術(shù)前50°±15°增加至術(shù)后1年110°±10°; Lysholm膝關(guān)節(jié)評(píng)分由術(shù)前(39.0±2.5)分升至術(shù)后1年(85.3±3.1)分。結(jié)論:采用同種異體肌腱移植治療膝關(guān)節(jié)后外側(cè)角損傷,能夠改善膝關(guān)節(jié)活動(dòng)度,促進(jìn)膝關(guān)節(jié)功能恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

參考文獻(xiàn)/References:

[1] Sanchez AR 2nd,Sugalski MT,LaPrade RF.Anatomy and biomechanics of the lateral side of the knee[J].Sports Med Arthrosc,2006,14(1):2-11. [2] 林瑞新,劉敏,楊國(guó)敬,等.“Y”型LARS韌帶一期重建膝后交叉韌帶及后外側(cè)角[J].中醫(yī)正骨,2010,22(3):53-55. [3] 王奇超,王海蛟,王玉記,等.關(guān)節(jié)鏡輔助下應(yīng)用自體半腱肌腱微創(chuàng)重建膝交叉韌帶和加強(qiáng)后外側(cè)角韌帶[J].中國(guó)微創(chuàng)外科雜志,2010,10(7):639-641. [4] Bahk MS,Cosgarea AJ.Physical examination and imaging of the lateral collateral ligament and posterolateral corner of the knee[J].Sports Med Arthrosc,2006,14(1):12-19. [5] Laprade RF,Gilbert TJ,Bollom TS,et al.The magnetic resonance imaging appearance of individual structures of the posterolateral knee.A prospective study of normal knees and knees with surgically verified grade Ⅲ injuries[J].Am J Sports Med,2000,28(2):191-199. [6] Lysholm J,Gillquist J.Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J].Am J Sports Med,1982,10(3):150-154. [7] 張東亮,劉軍.膝關(guān)節(jié)后外側(cè)復(fù)合體損傷治療的進(jìn)展[J].中華醫(yī)學(xué)雜志,2012,92(33):2372-2374. [8] 肖宇,王兆杰,安榮澤.膝關(guān)節(jié)后外側(cè)復(fù)合體重建術(shù)的研究進(jìn)展[J].吉林醫(yī)學(xué),2014,35(10):2198-2199. [9] Harner CD,Vogrin TM,Höher J,et al.Biomechanical analysis of a posterior cruciate ligament Reconstruction. Deficiency of the posterolateral structures as a cause of graft failure[J].Am J Sports Med,2000,28(1):32-39. [10] Li G,Gill TJ,Defrate LE,et al.Biomechanical Consequences of PCL deficiency in the knee under simulated muscle loads—an in vitro experimental study[J].J Orthop Res,2002,20(4):887-892. [11] 鐘環(huán),陳繼銘,康毅,等.陳舊性FanelliⅢ型膝后外側(cè)角損傷重建[J].生物骨科材料與臨床研究,2012,9(4):26-29. [12] Sekiya JK,West RV,Ong BC,et al.Clinical outcomes after isolated arthroscopic single-bundle posterior cruciate ligament Reconstruction[J].Arthroscopy,2005,21(9):1042-1050. [13] Yoon KH,Bae DK,Song SJ,et al.Arthroscopic double-bundle augmentation of posterior cruciate ligament using split Achilles allograft[J].Arthroscopy,2005,21(12):1436-1442. [14] Makino A,Aponte Tinao L,Ayerza MA,et al.Anatomic double-bundle posterior cruciate ligament Reconstruction using double-double tunnel with tibial anterior and posterior fresh-frozen allograft[J].Arthroscopy,2006,22(6):684. [15] 陳鴻,魯寧,張穎.膝關(guān)節(jié)后交叉韌帶合并后外側(cè)角結(jié)構(gòu)損傷的聯(lián)合重建[J].中華創(chuàng)傷骨科雜志,2008,10(3):229-233. [16] An W,Qiu S,Zhu T,et al.Comparative study on the treatment of acromioclavicular joint dislocation:coracoclavicular ligament Reconstruction using lateral half of conjoined tendon or tractusiliotibialis with hook plate fixation[J].Zhonghua Yi Xue Za Zhi,2015,95(5):363-367.

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備注/Memo

備注/Memo:
2016-04-07收稿 2016-07-13修回

更新日期/Last Update: 1900-01-01