CAJ | 학술논문

目的：观察关节镜下半腱肌腱单束重建前交叉韧带（ACL）前内侧束损伤的临床疗效。方法采用关节镜下半腱肌腱单束重建 ACL 前内侧束损伤患者18例，对比术前及术后末次随访时 Lysholm、IKDC 评分及 KT-1000双侧膝关节胫骨结节前移差。结果18例患者术后伸膝无受限，4周膝关节屈曲均达到110°，术后3个月膝关节屈曲120°～140°，平均124°。术后18例患者均获得随访，随访时间为6～18（12．5±5．3）个月；末次随访时患者 IKDC、Lysholm 评分均明显高于术前（P ＜0．05），屈膝30°位 KT-1000双侧膝关节胫骨结节前移差明显小于术前（P ＜0．05）。结论关节镜下自体半腱肌腱单束解剖重建 ACL 前内侧束损伤可以恢复膝关节的稳定性，临床疗效较好。
목적：관찰관절경하반건기건단속중건전교차인대（ACL）전내측속손상적림상료효。방법채용관절경하반건기건단속중건 ACL 전내측속손상환자18례，대비술전급술후말차수방시 Lysholm、IKDC 평분급 KT-1000쌍측슬관절경골결절전이차。결과18례환자술후신슬무수한，4주슬관절굴곡균체도110°，술후3개월슬관절굴곡120°～140°，평균124°。술후18례환자균획득수방，수방시간위6～18（12．5±5．3）개월；말차수방시환자 IKDC、Lysholm 평분균명현고우술전（P ＜0．05），굴슬30°위 KT-1000쌍측슬관절경골결절전이차명현소우술전（P ＜0．05）。결론관절경하자체반건기건단속해부중건 ACL 전내측속손상가이회복슬관절적은정성，림상료효교호。
Objective To observe the clinical efficacy of the arthroscopic single -bundle reconstruction technique with semitendinosus tendon on the treatment of antero -medial bundle ruptures of anterior cruciate ligament (ACL). Methods The arthroscopic single -bundle reconstruction technique with semitendinosus tendon was applied to 18 patients with antero-medial bundle ruptures of ACL in this study.The Lysholm scoring,IKDC scoring,and KT-1000 evaluation on the side-to-side difference of forward range movement of tibial tuberosity of bilateral knees were performed for every patient pre-and last post-operatively.Results Eighteen cases showed no defect of extension of the knee joint postoperatively.The range of knee flexion achieved 110°four weeks after operation,and then achieved 120°to 140°three months after operation,with the average of 124°.All of the 18 patients received a follow-up,and the duration of follow-up lasted for 6 to 18 months,with the average of (12.5 ±5.3)months.The IKDC,Lysholm scores in the last follow-up were significantly higher than the preoperative ones(P <0.05).The sinde-to-side differences of forward range movement of tibial tuberosity of bilateral knees in test with KT-1000 at 30°flexion postoperatively decreased significantly compared with the preoperative differences (P <0.05). Conclusion The Arthroscopic single-bundle reconstruction technique with autologous semitendinosus tendon can attain good stability and excellent clinical results in the treatment of antero -medial bundle ruptures of ACL.