中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2013年
6期
526-531
,共6页
叶俊星%沈光思%周海斌%谢宗刚%徐炜%董启榕%徐又佳
葉俊星%瀋光思%週海斌%謝宗剛%徐煒%董啟榕%徐又佳
협준성%침광사%주해빈%사종강%서위%동계용%서우가
韧带%关节镜%人工韧带
韌帶%關節鏡%人工韌帶
인대%관절경%인공인대
Ligament%Arthroscopes%Artificial ligament
目的 探讨膝关节镜下使用LARS人工韧带重建同侧膝关节前交叉韧带(anterior cruciate ligament,ACL)和后交叉韧带(posterior cruciate ligament,PCL)的初步临床效果. 方法 从2006年6月开始,在关节镜下运用LARS人工韧带对21例ACL、PCL断裂患者进行重建,其中男13例,女8例,平均年龄31.5岁.所有患者术前MRI明确诊断为ACL、PCL断裂,Lysholm评分(47.6±6.7)分,手术在关节镜下进行,先重建PCL,再重建ACL. 结果 对21例患者均进行36～49个月(平均42个月)的随访,未发生感染、韧带断裂、松动等术后并发症.术后3年,Lysholm评分(90.8±3.7)分；国际膝关节评分委员会(International Knee Documentation Committee,IKDC)评分,正常14例,接近正常6例,不正常1例,优良率达95％. 结论 使用LARS人工韧带重建能够使ACL、PCL断裂患者的膝关节获得解剖学重建和稳定性.关节镜下手术具有创伤小、迅速恢复和满意的治疗效果等优势.
目的 探討膝關節鏡下使用LARS人工韌帶重建同側膝關節前交扠韌帶(anterior cruciate ligament,ACL)和後交扠韌帶(posterior cruciate ligament,PCL)的初步臨床效果. 方法 從2006年6月開始,在關節鏡下運用LARS人工韌帶對21例ACL、PCL斷裂患者進行重建,其中男13例,女8例,平均年齡31.5歲.所有患者術前MRI明確診斷為ACL、PCL斷裂,Lysholm評分(47.6±6.7)分,手術在關節鏡下進行,先重建PCL,再重建ACL. 結果 對21例患者均進行36～49箇月(平均42箇月)的隨訪,未髮生感染、韌帶斷裂、鬆動等術後併髮癥.術後3年,Lysholm評分(90.8±3.7)分；國際膝關節評分委員會(International Knee Documentation Committee,IKDC)評分,正常14例,接近正常6例,不正常1例,優良率達95％. 結論 使用LARS人工韌帶重建能夠使ACL、PCL斷裂患者的膝關節穫得解剖學重建和穩定性.關節鏡下手術具有創傷小、迅速恢複和滿意的治療效果等優勢.
목적 탐토슬관절경하사용LARS인공인대중건동측슬관절전교차인대(anterior cruciate ligament,ACL)화후교차인대(posterior cruciate ligament,PCL)적초보림상효과. 방법 종2006년6월개시,재관절경하운용LARS인공인대대21례ACL、PCL단렬환자진행중건,기중남13례,녀8례,평균년령31.5세.소유환자술전MRI명학진단위ACL、PCL단렬,Lysholm평분(47.6±6.7)분,수술재관절경하진행,선중건PCL,재중건ACL. 결과 대21례환자균진행36～49개월(평균42개월)적수방,미발생감염、인대단렬、송동등술후병발증.술후3년,Lysholm평분(90.8±3.7)분；국제슬관절평분위원회(International Knee Documentation Committee,IKDC)평분,정상14례,접근정상6례,불정상1례,우량솔체95％. 결론 사용LARS인공인대중건능구사ACL、PCL단렬환자적슬관절획득해부학중건화은정성.관절경하수술구유창상소、신속회복화만의적치료효과등우세.
Objective To investigate the initial effect of LARS artificial ligaments arthroscopically in reconstruction of ipsilateral anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL).Methods A total of 21 patients (13 males and 8 females,at average age of 31.5 years) received ACL and PCL restoration using LARS artificial ligaments since June 2006.Preoperative MRI exactly confirmed them as ACL and PCL ruptures.Lysholm score on knee joint was (47.6 ±6.7) points.Surgery had reconstruction of PCL prior to ACL under arthroscope.Results All patients were followed up for average 42 months (range,36-49 months),which showed no infection,ligament rupture,ligament loosening,or other postoperative complications.At postoperative 3 years,Lysholm score was (90.8 ± 3.7) points and International Knee Documentation Committee (IKDC) score was normal in 14 patients,near normal in six,and abnormal in one,with excellent-good rate of 95％.Conclusions LARS artificial ligaments can attain anatomical reconstruction and stability of the knee joint in treatment of ACL and PCL ruptures.Meanwhile,arthroscopic surgery shows superiorities of micro-wound,rapid recovery and satisfactory curative effect.
