中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
9期
1360-1362
,共3页
关节镜检查%膝关节
關節鏡檢查%膝關節
관절경검사%슬관절
Arthroscopy%Knee Joint
目的 探讨关节镜下半腱肌腱联合髌骨韧带双束重建膝关节后交叉韧带临床疗效.方法 对后交叉韧带(PCL)断裂患者采用关节镜下半腱肌腱联合髌骨韧带双束重建治疗13例,观察术后膝关节活动度、关节功能、临床疗效；分析X片胫骨平台后移情况.结果 IKDC评分:术前7例C级,6例D级；术后3例A级,8例B级,2例C级,手术前后差异有统计学意义(P＜0.05)；Lysholm评分:术前(58 ±5.10)分,术后(89.5±4.8)分；胫骨平台X片分析:术前(14.6±3.4)mm,术后(14.6 ±3.4)mm.手术前后比较均差异有统计学意义(P＜0.05).结论 半腱肌腱联合髌骨韧带双束重建膝关节后交叉韧带可以纠正平台后移,显著改善患膝症状,相比单束重建临床效果更理想.
目的 探討關節鏡下半腱肌腱聯閤髕骨韌帶雙束重建膝關節後交扠韌帶臨床療效.方法 對後交扠韌帶(PCL)斷裂患者採用關節鏡下半腱肌腱聯閤髕骨韌帶雙束重建治療13例,觀察術後膝關節活動度、關節功能、臨床療效；分析X片脛骨平檯後移情況.結果 IKDC評分:術前7例C級,6例D級；術後3例A級,8例B級,2例C級,手術前後差異有統計學意義(P＜0.05)；Lysholm評分:術前(58 ±5.10)分,術後(89.5±4.8)分；脛骨平檯X片分析:術前(14.6±3.4)mm,術後(14.6 ±3.4)mm.手術前後比較均差異有統計學意義(P＜0.05).結論 半腱肌腱聯閤髕骨韌帶雙束重建膝關節後交扠韌帶可以糾正平檯後移,顯著改善患膝癥狀,相比單束重建臨床效果更理想.
목적 탐토관절경하반건기건연합빈골인대쌍속중건슬관절후교차인대림상료효.방법 대후교차인대(PCL)단렬환자채용관절경하반건기건연합빈골인대쌍속중건치료13례,관찰술후슬관절활동도、관절공능、림상료효；분석X편경골평태후이정황.결과 IKDC평분:술전7례C급,6례D급；술후3례A급,8례B급,2례C급,수술전후차이유통계학의의(P＜0.05)；Lysholm평분:술전(58 ±5.10)분,술후(89.5±4.8)분；경골평태X편분석:술전(14.6±3.4)mm,술후(14.6 ±3.4)mm.수술전후비교균차이유통계학의의(P＜0.05).결론 반건기건연합빈골인대쌍속중건슬관절후교차인대가이규정평태후이,현저개선환슬증상,상비단속중건림상효과경이상.
Objective To evaluate the clinical effect and outcomes after arthroscopic-assisted double-bundle posterior cruciate ligament (PCL) reconstruction.Methods 13 patients with grade III isolated chronic PCL tears underwent double-bundle PCL reconstruction were enrolled in this study.Range of joint motion,knee function and stress radiographs were observed to evaluate the clinical outcome.Results Postoperative physical examination revealed a reduction of the posterior drawer and tibial step-off in all cases.According to International Knee Documentation Committee score,before operation,7 cases were grade C,6 cases were grade D.After operation,3 cases of grade A,8 cases of grade B,2 cases of grade C.There were significant differences (P ＜ 0.05).By the Lysholm knee scoring scale,after operation the score was (89.5 ± 4.8),which was higher than (58.0 ± 5.1) before treatment.The postoperative stress radiographs revealed posterior instability of (14.6 ± 3.4) mm before operation,compared with (4.7 ± 2.4) mm after operation,there was significant difference(P ＜0.05).Conclusion The technique of double-bundle PCL reconstruction produced a significant reduction in knee symptoms and allowed the patients to return to moderate or strenuous activity,although the posterior tibial translation was not completely normalized and our results appear to be no better than the results of single-bundle PCL reconstruction.
