全内短腱技术行后交叉韧带双束保残重建术的近期疗效
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作者Author单位AddressE-Mail
张启 ZHANG Qi 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
陈鸿 CHEN Hong 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China 362775323@qq.com 
舒嵩华 SHU Song-hua 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
段祺辉 DUAN Qi-hui 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
李超 LI Chao 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
罗廷虎 LUO Ting-hu 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
郭艳 GUO Yan 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
赵文川 ZHAO Wen-chuan 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
吕江 LYU Jiang 昆明市第一人民医院运动医学科, 云南 昆明 650000 Department of Sports Medicine, the First Hospital of Kunming, Kunming 650000, Yunnan, China  
期刊信息:《中国骨伤》2020年,第33卷,第6期,第554-557页
DOI:10.12200/j.issn.1003-0034.2020.06.013
基金项目:云南省应用基础研究昆明联合专项[编号:2017FE467(-065)];昆明市卫生科技人才培养项目暨“百”工程[编号:2018-SW(省)-01]
中文摘要:

目的:探讨关节镜下采用全内短腱技术行后交叉韧带双束保残重建术的方法及疗效。

方法:自2010年10月至2018年6月收治50例单纯后交叉韧带断裂患者,男35例,女15例;年龄20~45岁;急性损伤16例,陈旧损伤34例。取同侧自体腘绳肌腱,关节镜下保留后交叉韧带残端,采用全内短腱技术双束重建后交叉韧带,移植韧带两端利用带可调节袢悬吊钛板固定。采用Lysholm膝关节评分、IKDC评分评价临床疗效。

结果:50例均获随访,时间6~60(28.84±9.52)个月,末次随访时,膝关节活动度均恢复至正常范围。Lysholm膝关节评分中位数值术前54分,术后100分。根据IKDC评分,术前A级0例,B级0例,C级20例,D级30例;术后A级29例,B级19例,C级1例,D级1例,差异有统计学意义(P<0.01)。

结论:关节镜下全内短腱技术后交叉韧带双束保残重建术安全可靠,移植肌腱需要量少,固定稳定,骨量保留多有利愈合及翻修,近期疗效肯定。
【关键词】关节镜  后交叉韧带重建  移植,自体
 
Short-term effect of double bundle reconstruction of posterior cruciate ligament with total internal short tendon technique
ABSTRACT  

Objective: To explore the method and curative effect of double bundle reconstruction of posterior cruciate ligament with total internal short tendon technique.

Methods: From October 2010 to June 2018,50 patients with simple posterior cruciate ligament rupture were admitted,including 35 males and 15 females,ranging in age from 20 to 45 years old,16 with acute injury and 34 with old injury. The posterior cruciate ligament(PCL) was reconstructed by double bundle technique with the whole internal short tendon. The two ends of the transplanted ligament were fixed by titanium plate suspended with adjustable loop. The Lysholm knee score and IKDC score were used to evaluate the clinical effects.

Results: All the 50 patients were followed up,and the duration ranged from 6 to 60 months,with a mean of(28.84±9.52) months. At the latest follow-up,the knee joint activity returned to normal range. The median value of Lysholm knee score was 54 before operation and 100 after operation. According to the IKDC score,there were 0 case of grade A,0 case of grade B,20 cases of grade C and 30 cases of grade D before operation;29 cases of grade A,19 cases of grade B,1 case of grade C and 1 case of grade D after operation;the difference was statistically significant(P<0.01).

Conclusion: Arthroscopic double bundle reconstruction of posterior cruciate ligament with short internal tendon is safe and reliable,with less tendon transplantation,more stable fixation,and more bone reserve,which is beneficial for healing and renovation. The short-term effect is positive.
KEY WORDS  Arthroscopes  Posterior cruciate ligament reconstruction  Transplantation,autologous
 
引用本文,请按以下格式著录参考文献:
中文格式:张启,陈鸿,舒嵩华,段祺辉,李超,罗廷虎,郭艳,赵文川,吕江.全内短腱技术行后交叉韧带双束保残重建术的近期疗效[J].中国骨伤,2020,33(6):554~557
英文格式:ZHANG Qi,CHEN Hong,SHU Song-hua,DUAN Qi-hui,LI Chao,LUO Ting-hu,GUO Yan,ZHAO Wen-chuan,LYU Jiang.Short-term effect of double bundle reconstruction of posterior cruciate ligament with total internal short tendon technique[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(6):554~557
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