CAJ | 학술논문

目的：探讨关节镜下应用同种异体跟腱四骨道双束解剖重建前交叉韧带(ACL)的手术方法和临床疗效。方法32例采用关节镜下同种异体跟腱四骨道双束解剖重建方法的前交叉韧带损伤患者,通过术前及术后随访, Lysholm评分表进行膝关节功能的评估和疗效分析。结果按照Lysholm评分表,31例患者(96.9%)分级评价优良,1例一般(3.1%),优良率达到96.9%。结论关节镜下同种异体跟腱四骨道双束解剖重建前交叉韧带,能够有效的恢复膝关节的前后向及旋转稳定性,更接近于解剖生物力学重建,同种异体跟腱移植物的应用可以缩短手术时间,减少创伤,是双束解剖重建ACL的良好选择之一。
목적：탐토관절경하응용동충이체근건사골도쌍속해부중건전교차인대(ACL)적수술방법화림상료효。방법32례채용관절경하동충이체근건사골도쌍속해부중건방법적전교차인대손상환자,통과술전급술후수방, Lysholm평분표진행슬관절공능적평고화료효분석。결과안조Lysholm평분표,31례환자(96.9%)분급평개우량,1례일반(3.1%),우량솔체도96.9%。결론관절경하동충이체근건사골도쌍속해부중건전교차인대,능구유효적회복슬관절적전후향급선전은정성,경접근우해부생물역학중건,동충이체근건이식물적응용가이축단수술시간,감소창상,시쌍속해부중건ACL적량호선택지일。
Objective To explore the treatment method and clinical effect of arthroscopic four bone-tunnel double-bundle tendon allograft reconstruction of anterior cruciate ligament (ACL). Methods A total of 32 cases undergone arthroscopic four bone-tunnel double-bundle tendon allograft reconstruction of anterior cruciate ligament were in this study. Preoperative and postoperative follow-up and Lysholm score were applied in the analysis of knee joint function and curative effect. Results The result of Lysholm score showed that there were 31 good cases (96.9%) and 1 fair case (3.1%). The good rate was 96.9%. Conclusion The surgery of arthroscopic four bone-tunnel double-bundle tendon allograft reconstruction of anterior cruciate ligament can effectively recover the stability and knee function in anterior-posterior dimension and spin. This reconstruction is close to the reconstruction of anatomic biomechanics. The application of tendon allograft transplant can reduce operation time and trauma, and it is a good choice for double-bundle anterior cruciate ligament reconstruction.