CAJ | 학술논문

目的:探讨关节镜下同种异体胫前肌腱与自体腘绳肌腱重建前交叉韧带(ACL)的临床疗效.方法:回顾了60例陈旧性前交叉韧带损伤重建病例,分为A组30例,B组30例.分别应用同种异体胫前肌腱(A组)和自体半腱肌、股薄肌腱(B组)重建ACL,A组平均随访29.4个月,B组平均随访31.6月.采用Lysholm、Tegner、IKI)C、KT2000对患者进行术前和术后膝关节功能测试、评分,并用等速测试仪测量各组术后伸膝、屈膝、内旋和外旋肌力.结果:两组手术前后Lysholm、Tegner、IKDC、KT2000测试结果均有显著性差异(P<0.01);但两组间术后评分无显著性差异(P>0.05).等速肌力测试结果显示术后B组内旋、屈膝肌力较术前下降(P<0.05),而A组术后肌力较术前无明显下降(P>0.05).结论:关节镜下采用同种异体胫前肌腱重建前交叉韧带疗效满意,不良反应发生率低.6月.采用Lysholm、Tegner、IKI)C、KT2000对患者进行术前和术后膝关节功能测试、评分,并用等速测试仪测量各组术后伸膝、屈膝、内旋和外旋肌力.结果:两组手术前后Lysholm、Tegner、IKDC、KT2000测试果均有显著性差异(P<0.01);但两组间术后评分无显著性差异(P>0.05).等速肌力测试结果显示术后B组内旋、屈膝肌力较术前下降(P<0.05),而A组术后肌力较术前无明显下降(P>0.05).结论:关节镜下采用同种异体胫前肌腱重建前交叉韧带疗效满意,不良反应发生率低.6月.采用
목적:탐토관절경하동충이체경전기건여자체객승기건중건전교차인대(ACL)적림상료효.방법:회고료60례진구성전교차인대손상중건병례,분위A조30례,B조30례.분별응용동충이체경전기건(A조)화자체반건기、고박기건(B조)중건ACL,A조평균수방29.4개월,B조평균수방31.6월.채용Lysholm、Tegner、IKI)C、KT2000대환자진행술전화술후슬관절공능측시、평분,병용등속측시의측량각조술후신슬、굴슬、내선화외선기력.결과:량조수술전후Lysholm、Tegner、IKDC、KT2000측시결과균유현저성차이(P<0.01);단량조간술후평분무현저성차이(P>0.05).등속기력측시결과현시술후B조내선、굴슬기력교술전하강(P<0.05),이A조술후기력교술전무명현하강(P>0.05).결론:관절경하채용동충이체경전기건중건전교차인대료효만의,불량반응발생솔저.6월.채용Lysholm、Tegner、IKI)C、KT2000대환자진행술전화술후슬관절공능측시、평분,병용등속측시의측량각조술후신슬、굴슬、내선화외선기력.결과:량조수술전후Lysholm、Tegner、IKDC、KT2000측시과균유현저성차이(P<0.01);단량조간술후평분무현저성차이(P>0.05).등속기력측시결과현시술후B조내선、굴슬기력교술전하강(P<0.05),이A조술후기력교술전무명현하강(P>0.05).결론:관절경하채용동충이체경전기건중건전교차인대료효만의,불량반응발생솔저.6월.채용
Objective To compare the clinical results of anterior cruciate ligament(ACL)reconstruction using anterior tibial muscle tendons allograft and hamstring tendons autograft.Methods According to the graft used for ACL reconstruction,60 patients with chronic ruptures of ACL were divided into group A(30 patients,using anterior tibial muscle tendons allograft)and group B(30 patients,using semitendinosus and gracilis tendons autograft).The average follow-up periods after surgery were 29.4 and 31.6 months respectively.Lysholm,Tegner,IKDC clinical rating scales and KT2000 were used for evaluation pre-and post-operation.The muscle strength of the extension,flexion,internal rotation and external rotation of knees was evaluated by the isokinetic tester.Results There were statistically significant differences in Lysholm,Tegner,IKDC clinical rating scales and KT2000 results between pre-and postoperation(P<0.01).However,there were no statistically significant differences between group A and group B after operation(P>0.05).The Isokinetic muscle strength tester showed that the knee muscle strength of the internal rotation and flexion were decreased post-operative in group B,rather than group A,which showed no significant differences between pre-and post.operation(P<0.05).Conclusion For ACL reconstruction under arthroscopy,anterior tibial muscle tendons allograft was a favorable substitute for autograft materials for its convenience,satisfactory clinical effect and less complications.