CAJ | 학술논문

背景：以自体腘绳肌腱rigidfix、Intrafix固定重建前交叉韧带是现在较流行的手术方式，但缺乏中长期临床疗效的评价。目的：评估股骨端应用Rigidfix、胫骨端应用Intrafix固定自体腘绳肌腱重建前交叉韧带的中期临床疗效。方法：对39例前交叉韧带损伤患者在关节镜下行自体4股腘绳肌腱Rigidfix和Intrafix固定重建前交叉韧带，进行2年以上中期随访，并应用Lyshlom、IKDC、Tegner评分对治疗后临床疗效进行系统的评价。结果与结论：经过至少2年的随访发现应用Rigidfix和Intrafix内固定患者在IKDC、Lysholm评分明显高于治疗前(P<0.01)。证实在关节镜下应用自体4股腘绳肌腱Rigidfix和Intrafix重建前交叉韧带具有良好的中期临床疗效，但若大规模的使用，目前尚缺乏长期的临床随访结果。
배경：이자체객승기건rigidfix、Intrafix고정중건전교차인대시현재교류행적수술방식，단결핍중장기림상료효적평개。목적：평고고골단응용Rigidfix、경골단응용Intrafix고정자체객승기건중건전교차인대적중기림상료효。방법：대39례전교차인대손상환자재관절경하행자체4고객승기건Rigidfix화Intrafix고정중건전교차인대，진행2년이상중기수방，병응용Lyshlom、IKDC、Tegner평분대치료후림상료효진행계통적평개。결과여결론：경과지소2년적수방발현응용Rigidfix화Intrafix내고정환자재IKDC、Lysholm평분명현고우치료전(P<0.01)。증실재관절경하응용자체4고객승기건Rigidfix화Intrafix중건전교차인대구유량호적중기림상료효，단약대규모적사용，목전상결핍장기적림상수방결과。
BACKGROUND:Autologous hamstring Rigidfix and Intrafix has been frequently used to fix and reconstruct anterior cruciate ligament. However, it lacks of evaluation of middle and long period of clinical outcomes. OBJECTIVE:To retrospectively evaluate the medium term clinical outcomes of anterior cruciate ligament reconstruction with hamstring tendon autograft by Rigidfix and Intrafix. METHODS:The 39 cases of anterior cruciate ligament injury were subjected to anterior cruciate ligament reconstruction with hamstring tendon autograft by Rigidfix and Intrafix under arthroscope. They were fol owed up for 2 years or more. The clinical outcomes were evaluated using Lyshlom score scale, IKDC2000 and Tegner score scale. RESULTS AND CONCLUSION:In the fol ow-up, IKDC2000 score and Lyshlom score were significantly increased fol owing Rigidfix and Intrafix fixation than before treatment (P<0.01). Results indicate satisfactory clinical outcomes of anterior cruciate ligament reconstruction with hamstring tendon autograft by Rigidfix and Intrafix. However, long-term fol ow up is needed to verify the feasibility of extensive application.