CAJ | 학술논문

目的：探讨以自体股四头肌腱-髌骨块为移植物在关节镜下单束重建后交叉韧带（PCL ）的临床疗效。方法：对21例PCL损伤患者以自体股四头肌腱-髌骨块为移植物，运用可吸收挤压螺钉固定法在关节镜下行PCL单束重建手术，以Lysholm评分、Tegner评分、国际膝关节文献委员会（IKDC）分级标准作为疗效评价指标。结果21例患者PCL重建及复合损伤手术治疗均顺利完成，无患者失访，术后所有患者主观症状均有明显改善，Lysholm评分、Tegner评分均较术前有明显提高，手术前后比较，差异有统计学意义（P＜0．01）。结论：以自体股四头肌腱-髌骨块为移植物单束重建PCL近期临床疗效满意，远期疗效需进一步对大样本的长期观察研究。
목적：탐토이자체고사두기건-빈골괴위이식물재관절경하단속중건후교차인대（PCL ）적림상료효。방법：대21례PCL손상환자이자체고사두기건-빈골괴위이식물，운용가흡수제압라정고정법재관절경하행PCL단속중건수술，이Lysholm평분、Tegner평분、국제슬관절문헌위원회（IKDC）분급표준작위료효평개지표。결과21례환자PCL중건급복합손상수술치료균순리완성，무환자실방，술후소유환자주관증상균유명현개선，Lysholm평분、Tegner평분균교술전유명현제고，수술전후비교，차이유통계학의의（P＜0．01）。결론：이자체고사두기건-빈골괴위이식물단속중건PCL근기림상료효만의，원기료효수진일보대대양본적장기관찰연구。
Objective To discuss the clinical effect of using autologous quadriceps tendon fixed by a patellar block as the graft to reconstruct posterior cruciate ligament (PCL ) under arthroscopy on a single-bundle way .Methods We treated 21 patients with damaged PCL using autologous quadriceps tendon fixed by a patellar block as the graft and absorbable interference screw fixation to reconstruct PCL under arthroscopy on a single-bundle way .Their functional recovery was evaluated by Lysholm scoring ,Tegner scoring and International Knee Documentation Committee (IKDC) criteria .Results All 21 patients got successful surgery on PCL reconstruction and multiple trauma ,no patients lost to follow-up .The subjective symptoms were improved after operation ,the post-operative Lysholm score and Tegner score were both significantly enhanced and showed statistical significance compared with the preoperative scores(P<0 .01) .Conclusion Using autologous quadriceps tendon fixed by a patellar block as the graft to reconstruct PCL on a single-bundle way leads to satisfactory short term clinical effects ,however ,the long term clinical effects remain to be eval-uated .