CAJ | 학술논문

目的：探讨利用腓骨长肌前侧半肌腱重建修复陈旧性髌腱断裂的治疗方法和疗效。方法采用腓骨长肌前侧半肌腱横穿胫骨隧道及纵穿髌骨隧道重建髌韧带并加用爱惜邦缝线减张固定方法治疗15例陈旧性髌韧带断裂患者。观察手术效果。结果手术时间60~80 min,术中出血20~50 ml,手术后切口甲级愈合14例,乙级愈合1例。住院时间10~14 d,15例患者均得到随访,随访时间18~24个月,均未出现髌腱再断裂。采用Lysholm评分评估手术效果,患膝功能均为优秀(平均92分)。结论采用自体腓骨长肌前侧半肌腱重建修复陈旧性髌腱断裂具有牢固可靠,可早期康复训练,无需内固定等优点,疗效确切,值得临床推广。
목적：탐토이용비골장기전측반기건중건수복진구성빈건단렬적치료방법화료효。방법채용비골장기전측반기건횡천경골수도급종천빈골수도중건빈인대병가용애석방봉선감장고정방법치료15례진구성빈인대단렬환자。관찰수술효과。결과수술시간60~80 min,술중출혈20~50 ml,수술후절구갑급유합14례,을급유합1례。주원시간10~14 d,15례환자균득도수방,수방시간18~24개월,균미출현빈건재단렬。채용Lysholm평분평고수술효과,환슬공능균위우수(평균92분)。결론채용자체비골장기전측반기건중건수복진구성빈건단렬구유뢰고가고,가조기강복훈련,무수내고정등우점,료효학절,치득림상추엄。
Objective To discuss the effect of anterior half of the peroneus longus tendon in reconstructing neglected patellar tendon rupture.Methods All 15 cases of neglected patellar tendon rupture were reconstructed with anterior half of the peroneus longus tendon, with the tendon crossing the patella and tibia tunnels, overlapping suture with patellar tendon and fixed by reducing tension of Ethibond, operation effect was observed.Results The operation time was 60~80 min, bleeding volume was 20~50 ml. The grade A healing incision was achieved in 14 cases, grade B healing in 1 case. The hospitalization time was 10~14 d. All 15 cases were followed up for 18~24 months and no rupture recurred. According to Lysholm score evaluation, knee function were excellent(average of 92 points).Conclusion Using the anterior half of the peroneus longus tendon to reconstruct neglected patellar tendon rupture is solid and reliable with definite curative effect and no need of internal fixation, so it is worthy of clinical application.