中华骨科杂志
中華骨科雜誌
중화골과잡지
CHINESE JOURNAL OF ORTHOPAEDICS
2008年
11期
892-896
,共5页
江东%余家阔%敖英芳%于长隆%王健全%崔国庆%胡跃林%田得祥%龚熹%王永健%程序
江東%餘傢闊%敖英芳%于長隆%王健全%崔國慶%鬍躍林%田得祥%龔熹%王永健%程序
강동%여가활%오영방%우장륭%왕건전%최국경%호약림%전득상%공희%왕영건%정서
关节镜检查%前交叉韧带%移植物%膝关节
關節鏡檢查%前交扠韌帶%移植物%膝關節
관절경검사%전교차인대%이식물%슬관절
Arthroscopy%Anterior cruciate ligament%Transplants%Knee joint
目的 比较异体和自体骨-髌腱-骨(B-Pt-B)移植物重建膝关节前十字韧带(ACL)的临床效果.方法 27例ACL断裂患者接受关节镜下异体B-PT-B重建ACL手术,男18例,女9例;年龄16~49岁,平均25.5岁.同期25例ACL断裂患者接受关节镜下自体B-PT-B重建ACL手术,男19例,女6例;18～43岁,平均26.7岁.两组患者均采用相同的手术方法 .检测术后住院期间体温、红细胞沉降率、C反应蛋白,采用IKDC、Lysholm、Tegner评分、KT-2000及Biodex等速肌力测试系统评估手术效果及肌力恢复情况.结果 两组患者术后发热天数、红细胞沉降率、C反应蛋白比较,差异无统计学意义(P＞0.05).异体组随访时间为30～48个月,平均37.1个月;自体组随访时间为30～54个月,平均36.3个月.随访时两组的IKDC、Lysholm、Tegner评分及膝前痛比例比较差异无统计学意义(P＞0.05),异体组分别为89.5(74～100)分、93.o(70～100)分、8.0(5～10)分、44.4%,自体组分别为86.5(54～100)分、94.6(82～100)分、7.7(6～10)分、72.O%.两组30.和90.胫骨前移距离比较,差异无统计学意义,异体组分别为(1.72±1.73)mm、(1.37±1.90)mm,自体组分别为(1.16±.32)mm、(-0.08±1.62)mm.两组患者Biodex等速肌力在60°/s时分别恢复至健侧的82.7%和86.6%,在120°/s时分别恢复至健侧的82.8%和85.3%.结论 异体与自体B-PT-B重建ACL术后疗效无明显差异.
目的 比較異體和自體骨-髕腱-骨(B-Pt-B)移植物重建膝關節前十字韌帶(ACL)的臨床效果.方法 27例ACL斷裂患者接受關節鏡下異體B-PT-B重建ACL手術,男18例,女9例;年齡16~49歲,平均25.5歲.同期25例ACL斷裂患者接受關節鏡下自體B-PT-B重建ACL手術,男19例,女6例;18～43歲,平均26.7歲.兩組患者均採用相同的手術方法 .檢測術後住院期間體溫、紅細胞沉降率、C反應蛋白,採用IKDC、Lysholm、Tegner評分、KT-2000及Biodex等速肌力測試繫統評估手術效果及肌力恢複情況.結果 兩組患者術後髮熱天數、紅細胞沉降率、C反應蛋白比較,差異無統計學意義(P＞0.05).異體組隨訪時間為30～48箇月,平均37.1箇月;自體組隨訪時間為30～54箇月,平均36.3箇月.隨訪時兩組的IKDC、Lysholm、Tegner評分及膝前痛比例比較差異無統計學意義(P＞0.05),異體組分彆為89.5(74～100)分、93.o(70～100)分、8.0(5～10)分、44.4%,自體組分彆為86.5(54～100)分、94.6(82～100)分、7.7(6～10)分、72.O%.兩組30.和90.脛骨前移距離比較,差異無統計學意義,異體組分彆為(1.72±1.73)mm、(1.37±1.90)mm,自體組分彆為(1.16±.32)mm、(-0.08±1.62)mm.兩組患者Biodex等速肌力在60°/s時分彆恢複至健側的82.7%和86.6%,在120°/s時分彆恢複至健側的82.8%和85.3%.結論 異體與自體B-PT-B重建ACL術後療效無明顯差異.
목적 비교이체화자체골-빈건-골(B-Pt-B)이식물중건슬관절전십자인대(ACL)적림상효과.방법 27례ACL단렬환자접수관절경하이체B-PT-B중건ACL수술,남18례,녀9례;년령16~49세,평균25.5세.동기25례ACL단렬환자접수관절경하자체B-PT-B중건ACL수술,남19례,녀6례;18～43세,평균26.7세.량조환자균채용상동적수술방법 .검측술후주원기간체온、홍세포침강솔、C반응단백,채용IKDC、Lysholm、Tegner평분、KT-2000급Biodex등속기력측시계통평고수술효과급기력회복정황.결과 량조환자술후발열천수、홍세포침강솔、C반응단백비교,차이무통계학의의(P＞0.05).이체조수방시간위30～48개월,평균37.1개월;자체조수방시간위30～54개월,평균36.3개월.수방시량조적IKDC、Lysholm、Tegner평분급슬전통비례비교차이무통계학의의(P＞0.05),이체조분별위89.5(74～100)분、93.o(70～100)분、8.0(5～10)분、44.4%,자체조분별위86.5(54～100)분、94.6(82～100)분、7.7(6～10)분、72.O%.량조30.화90.경골전이거리비교,차이무통계학의의,이체조분별위(1.72±1.73)mm、(1.37±1.90)mm,자체조분별위(1.16±.32)mm、(-0.08±1.62)mm.량조환자Biodex등속기력재60°/s시분별회복지건측적82.7%화86.6%,재120°/s시분별회복지건측적82.8%화85.3%.결론 이체여자체B-PT-B중건ACL술후료효무명현차이.
Objective To compare clinical results of arthroscopic anterior cruciate ligament(ACL) reconstruction with bone-patellar tendon-bone(B-PT-B) between allograft and autograft.Methods Twentyseven patients underwent ACL reconstruction using irradiated deep-frozen B-PT-B allograft,including 18 males and 9 females,with an average age of 25.5 years(range,16-49 years).Twenty-five patients underwent the same operation but using autograft B-PT-B,including 19 males and 6 females,with an average age of 26.7 years (range,18-43 years).The same arthroscopie technique was used to perform the reconstruction.Postoperative temperature,erythrocyte sedimentation rate,C reactive protein examined.During follow-up,parameters included International Knee Documentation Committee (IKDC) scores,Tegner scores,Lysholm scores,anterior knee pain and KT-2000 side-to-side difference.Muscle strength were measured by the Biodex dynamometer.Results The average follow-up was 37.1 (range,30-48) months in the allograft group and 36.3 (range,30-54) months in the autograft group.No significant difference was found for IKDC scores (89.5/86.5),Lysholm scores (93.0/94.6),Tegner scores (8.0/7.7),anterior knee pain (44.4%/72.0%)and side-to-side difference[30°: (1.72±1.73) mm vs (1.16±1.32) mm; 90°:(1.37±1.90) nun vs (-0.08±1.62)mm].Quadriceps muscle strength recovered to 82.7%/82.8% (60°/s and 120°/s) and 86.6%/85.3% (60°/sand 120°/s) for the allograft and autograft group with no significant difference.Conclusion There was no significant difference with stability and muscle strength recovery between B-PT-B aUograft and autograft.
