CAJ | 학술논문

目的：判断微孔磷酸三钙（ mp-TCP）临床上是否可以有效促进腱骨愈合，提高膝关节稳定性，减少胫骨隧道的扩大，恢复关节功能。方法本研究对2007年6月至2008年10月，120例进行前交叉韧带（ ACL）自体腘绳肌肌腱重建手术的患者进行研究，随机填充mp-TCP，符合实验标准共105例患者。术后随访1年，进行临床、影像学指标统计分析。结果 TCP填充组及TCP非填充组两组在术后12个月的临床指标中，膝关节活动度（ ROM）、单腿跳跃检查、大腿周径差别、Lachman试验和轴移试验结果均无统计学差异；Tegner评分，Lysholm评分和IKDC主观功能量化评分统计学上也均无统计学差异（P＜0.05）；但是双侧膝关节前向松弛度差异（SSD）上则有统计学差异。重建术后影像学指标统计分析示骨隧道填充TCP可以有效减少术后骨隧道扩大的程度。结论前交叉韧带自体腘绳肌肌腱重建手术骨隧道填充TCP可以有效减少术后骨隧道扩大的程度。
목적：판단미공린산삼개（ mp-TCP）림상상시부가이유효촉진건골유합，제고슬관절은정성，감소경골수도적확대，회복관절공능。방법본연구대2007년6월지2008년10월，120례진행전교차인대（ ACL）자체객승기기건중건수술적환자진행연구，수궤전충mp-TCP，부합실험표준공105례환자。술후수방1년，진행림상、영상학지표통계분석。결과 TCP전충조급TCP비전충조량조재술후12개월적림상지표중，슬관절활동도（ ROM）、단퇴도약검사、대퇴주경차별、Lachman시험화축이시험결과균무통계학차이；Tegner평분，Lysholm평분화IKDC주관공능양화평분통계학상야균무통계학차이（P＜0.05）；단시쌍측슬관절전향송이도차이（SSD）상칙유통계학차이。중건술후영상학지표통계분석시골수도전충TCP가이유효감소술후골수도확대적정도。결론전교차인대자체객승기기건중건수술골수도전충TCP가이유효감소술후골수도확대적정도。
Objective To investigate whether micropore-tricalcium phosphate ( mp-TCP ) can enhance the healing of bone-tendon after anterior cruciate ligament ( ACL ) reconstruction and promote the recovery.Methods From June 2007 to October 2008, 120 patients were operated with a double-bundle four-tunnel eight-stranded autologous hamstring tendons technique for anterior cruciate ligament reconstruction.105 pacients were chosen by the experimental standard .They were divided into the TCP group and the control group randomly , and the bone tunnels of the patients in the TCP group were filled with the mp-TCP.Results The diameter of the bone-tunnel in the TCP group was less than it in the control group.As for clinical examination , there was no difference between the two groups .Conclusion Micropore-tricalcium phosphate ( mp-TCP) can enhance the healing of bone-tendon after ACL reconstruction and promote the recovery .