CAJ | 학술논문

目的：观察使用同种异体肌腱进行关节镜下前交叉韧带(anterior cruciate ligament, ACL)损伤后双束单隧道重建中期疗效。方法通过对2006年3月~2012年3月进行随访的100例应用双束单隧道重建关节镜下前交叉韧带病例(100个膝关节)。所有患者术前及随访时均进行IKDC2000、Tegner和Lyrsholm评分评价比较手术前后膝关节功能,并对结果进行统计学分析。结果随访时患者的IKDC2000、Tegner和Lyrsholm评分较治疗前均明显提高,差异具有统计学意义(P<0.05)。结论膝前交叉韧带胫骨端双束单隧道重建较目前临床应用较广泛的单束单隧道重建可以更好地重建膝关节的稳定性,手术操作简便,最大限度恢复解剖重建,近期、中期疗效佳,远期效果有待进一步观察。
목적：관찰사용동충이체기건진행관절경하전교차인대(anterior cruciate ligament, ACL)손상후쌍속단수도중건중기료효。방법통과대2006년3월~2012년3월진행수방적100례응용쌍속단수도중건관절경하전교차인대병례(100개슬관절)。소유환자술전급수방시균진행IKDC2000、Tegner화Lyrsholm평분평개비교수술전후슬관절공능,병대결과진행통계학분석。결과수방시환자적IKDC2000、Tegner화Lyrsholm평분교치료전균명현제고,차이구유통계학의의(P<0.05)。결론슬전교차인대경골단쌍속단수도중건교목전림상응용교엄범적단속단수도중건가이경호지중건슬관절적은정성,수술조작간편,최대한도회복해부중건,근기、중기료효가,원기효과유대진일보관찰。
Objective To investigate the efficacy of allergenic tendon in arthroscopic single-tunnel double-bundle reconstruction after anterior cruciate ligament (ACL). Methods From March 2006 to March 2012 follow-up of 100 cases in single tunnel double-bundle anterior curiae ligament reconstruction arthroscopic patients (100 knees) were carried out and follow-up all patients IKDC2000, and Lysol Tiger score evaluation before and after surgery knee function comparison, and the results were analyzed statistically. Results IKDC2000 patients at follow-up, Tiger and Lysol score before treatment were significantly improved, with a significant difference (P<0.05), with a description of statistical significance. Conclusion The anterior cruciate ligament tibia tunnel double-bundle reconstruction of a single clinical applications can be wider than the current single-bundle reconstruction of single-tunnel reconstruction to better stability of the knee, the operation is simple. It can maximize the recovery anatomical reconstruction and medium effect good, but long-term effect still remains to be seen .