| 双极射频在前交叉韧带重建中的应用 |
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| 作者 | Author | 单位 | Address | E-Mail |
| 李慎松 |
LI Shen-song |
解放军兰州军区总医院脊柱外科,甘肃兰州730050 |
Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China |
Lzzyjw@sina.com |
| 文益民 |
WEN Yi-min |
解放军兰州军区总医院脊柱外科,甘肃兰州730050 |
Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China |
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| 蓝旭 |
LAN Xu |
解放军兰州军区总医院脊柱外科,甘肃兰州730050 |
Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China |
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| 梁军 |
LIANG Jun |
解放军兰州军区总医院脊柱外科,甘肃兰州730050 |
Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China |
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| 期刊信息：《中国骨伤》2007年，第20卷，第11期，第760-761页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨关节镜下双极射频在前交叉韧带重建术中的应用。
方法:在关节镜下应用双极射频对16例前交叉韧带重建术中的移植物进行皱缩,男12例,女4例;年龄18～46岁,平均31岁。单纯前交叉韧带损伤5例,合并半月板损伤10例,合并后交叉韧带损伤1例。术中和术后对所有病例观察随访,记录临床检查结果和Lysholm评分。
结果:术中可见应用双极射频处理后的韧带逐渐收缩变短,韧带张力明显提高,麻醉状态下抽屉试验和Lachman试验均呈阴性。术后随访6～13个月,平均9.5个月,膝关节主观和客观稳定性均明显改善,Lysholm评分从术前(51.7±3.9)分提高到(86.2±3.5)分(P<0.01)。
结论:关节镜下应用双极射频在前交叉韧带重建术中对移植物进行皱缩,可使重建韧带收缩变紧,提高关节的稳定性。 |
| 【关键词】前交叉韧带 关节镜 双极射频 |
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| Application of bipolar radiofrequency energy in the reconstruction of anterior cruciate ligament |
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ABSTRACT
Objective:To explore the application of bipolar radiofrequency energy in the reconstruction of anterior cruciate ligament under arthroscope.
Methods:The grafts of sixteen patients with the reconstruction of anterior cruciate ligament accepted the shrinkage therapy of bipolar radiofrequency energy during arthroscopy involving 12 males and 4 females with an average age of 31 years ranging from 18 to 46.Five patients were simple anterior cruciate ligament injury,10 were complicating meniscus injury and 1 was complicating posterior cruciate ligament injury.All the patients were observed and followed up during and after operation.The Lysholm score and clinical examination were recorded.
Results:The ligament become shrinkage and shorten gradually after treated by bipolar radiofrequency energy during operation.The drawer and Lachman test showed negative results in the condition of anesthesia.The follow-up time was 6-13 months,averaged 9.5 months.The subjective and objective stability of knee joint improved significantly.Lysholm scores raised from(51.7±3.9) preoperatively to(86.2±3.5) points(P<0.01).
Conclusion:The reconstruction ligament could be shrunk and tightened and the knee stability improved when the bipolar radiofrequency energy was applicated during the reconstruction of anterior cruciate ligament under arthroscope. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李慎松,文益民,蓝旭,梁军.双极射频在前交叉韧带重建中的应用[J].中国骨伤,2007,20(11):760~761 |
| 英文格式: | LI Shen-song,WEN Yi-min,LAN Xu,LIANG Jun.Application of bipolar radiofrequency energy in the reconstruction of anterior cruciate ligament[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(11):760~761 |
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