CAJ | 학술논문

目的介绍海军飞行员前交叉韧带(ACL)损伤患者采用自体4股半腱肌腱+股薄肌腱重建ACL的手术方法及远期疗效. 方法关节镜下以自体4股半腱肌腱+股薄肌腱为ACL重建替代物,保留少许ACL残端作为定位标志物,对11例ACL损伤飞行员行重建术. 结果术后11例飞行员膝关节活动度均恢复至正常范围,无韧带撞击现象,前抽屉试验阴性,Lachman试验均小于I度.Lysholm评分由术前的平均49.1分提高到术后的平均87.5分,差异具有显著性意义(t=8.335,P<0.01).膝关节功能优良率术前与术后比较,差异具有显著性意义(X<'2>=6.793,P<0.01).11例飞行员中8例飞行合格,2例飞行暂不合格,1例飞行不合格. 结论关节镜下自体4股半腱肌腱+股薄肌腱重建ACL是恢复膝关节稳定性较好的方法 ,关节镜下重建ACL是ACL损伤飞行员较为理想的手术方式,其创伤较小、卧床时间短、远期疗效较好.
목적 개소해군비행원전교차인대(ACL)손상환자채용자체4고반건기건+고박기건중건ACL적수술방법 급원기료효. 방법 관절경하이자체4고반건기건+고박기건위ACL중건체대물,보류소허ACL잔단작위정위표지물,대11례ACL손상비행원행중건술. 결과 술후11례비행원슬관절활동도균회복지정상범위,무인대당격현상,전추체시험음성,Lachman시험균소우I도.Lysholm평분유술전적평균49.1분제고도술후적평균87.5분,차이구유현저성의의(t=8.335,P<0.01).슬관절공능우량솔술전여술후비교,차이구유현저성의의(X<'2>=6.793,P<0.01).11례비행원중8례비행합격,2례비행잠불합격,1례비행불합격. 결론 관절경하자체4고반건기건+고박기건중건ACL시회복슬관절은정성교호적방법 ,관절경하중건ACL시ACL손상비행원교위이상적수술방식,기창상교소、와상시간단、원기료효교호.
Objective To introduce the operation method and long-term therapeutic effects of arthroscopic reconstruction of anterior crueiate ligament (ACL) with four-stranded semitendinosus muscle tendon and gracilis muscle tendon in navy pilots. Methods The ACL reconstruction with arthroscope was operated for 11 navy pilot cases. Four-stranded semitendinous muscle tendon and gracilis muscle tendon were reconstructed as the substitution while the residual ACL was kept as positioning mark. Results The result showed that postoperative knee joints of 11 navy pilots' recovered to normal motion range without ligament impingement. The postoperative anterior drawer test was negative in all cases. The postoperative lachman test was less than grade Ⅰ in all cases. Lysholm score was increased from 49.1 points to 87.5 points by operation with significant difference (t= 8. 335, P<0.01). Fineness rate of knee joint function was increased after the operation with significant difference (X<'2> = 6. 793, P<0. 01). Among 11 navy pilot cases, 8 were qualified for flying, 2 were temporary grounded and 1 was concluded as flying disqualification. Conclusion The reconstruction of ACL on four-stranded semi-tendinous muscle tendon along with gracilis muscle tendon with arthroscope is a satisfied method for restoring the stability of knee joint. The reconstruction ACL has such advantages as with fewer invasions, less time on bed and preferable long-term therapeutic effect.