中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
11期
19-22
,共4页
后交叉韧带%膝关节%骨隧道扩大
後交扠韌帶%膝關節%骨隧道擴大
후교차인대%슬관절%골수도확대
Potersior cruciate ligament%Knee joint%Bone tunnel enlargement
目的 探讨同种异体肌腱重建后交叉韧带(PCL)术后股骨隧道扩大对临床疗效的影响.方法 32例同种异体胫前肌腱单束重建PCL患者,应用MRI分别测量术后1,3,12个月股骨隧道横截面的面积及隧道角度,采用Lysholm评分和KT-1000值评价膝关节功能.结果 隧道扩大率为34.4％(11/32),1级6例,2级5例,Lysholm评分(93.2±3.6)分,其中0级(94.2±2.6)分,1级(93.7±3.1)分,2级(91.2±2.8)分;股骨隧道0级与2级之间比较差异有统计学意义(P＜0.05),而0级与1级,1级与2级比较差异无统计学意义(P＞ 0.05);KT-1000值(1.4±0.6) mm,其中0级(1.2±0.8)mm,1级(1.3±0.5) mm,2级(1.5±0.3) mm;股骨隧道0级与1级比较差异无统计学意义(P＞0.05);而2级与0,1级比较差异有统计学意义(P＜0.05).结论 同种异体肌腱重建PCL术后股骨隧道有不同程度扩大,股骨隧道扩大会影响膝关节的功能,合适的股骨隧道角度有助于减少股骨隧道扩大的发生.
目的 探討同種異體肌腱重建後交扠韌帶(PCL)術後股骨隧道擴大對臨床療效的影響.方法 32例同種異體脛前肌腱單束重建PCL患者,應用MRI分彆測量術後1,3,12箇月股骨隧道橫截麵的麵積及隧道角度,採用Lysholm評分和KT-1000值評價膝關節功能.結果 隧道擴大率為34.4％(11/32),1級6例,2級5例,Lysholm評分(93.2±3.6)分,其中0級(94.2±2.6)分,1級(93.7±3.1)分,2級(91.2±2.8)分;股骨隧道0級與2級之間比較差異有統計學意義(P＜0.05),而0級與1級,1級與2級比較差異無統計學意義(P＞ 0.05);KT-1000值(1.4±0.6) mm,其中0級(1.2±0.8)mm,1級(1.3±0.5) mm,2級(1.5±0.3) mm;股骨隧道0級與1級比較差異無統計學意義(P＞0.05);而2級與0,1級比較差異有統計學意義(P＜0.05).結論 同種異體肌腱重建PCL術後股骨隧道有不同程度擴大,股骨隧道擴大會影響膝關節的功能,閤適的股骨隧道角度有助于減少股骨隧道擴大的髮生.
목적 탐토동충이체기건중건후교차인대(PCL)술후고골수도확대대림상료효적영향.방법 32례동충이체경전기건단속중건PCL환자,응용MRI분별측량술후1,3,12개월고골수도횡절면적면적급수도각도,채용Lysholm평분화KT-1000치평개슬관절공능.결과 수도확대솔위34.4％(11/32),1급6례,2급5례,Lysholm평분(93.2±3.6)분,기중0급(94.2±2.6)분,1급(93.7±3.1)분,2급(91.2±2.8)분;고골수도0급여2급지간비교차이유통계학의의(P＜0.05),이0급여1급,1급여2급비교차이무통계학의의(P＞ 0.05);KT-1000치(1.4±0.6) mm,기중0급(1.2±0.8)mm,1급(1.3±0.5) mm,2급(1.5±0.3) mm;고골수도0급여1급비교차이무통계학의의(P＞0.05);이2급여0,1급비교차이유통계학의의(P＜0.05).결론 동충이체기건중건PCL술후고골수도유불동정도확대,고골수도확대회영향슬관절적공능,합괄적고골수도각도유조우감소고골수도확대적발생.
Objective To investigate the effect of femoral tunnel enlargement after posterior cruciate ligament (PCL) reconstruction with tendon allograft on clinical outcome.Methods Thirty-two patients who accepted PCL reconstruction with tendon allograft,MRI examinations was used to measure the cross-sectional area of the femoral tunnel and tunnel angle on postoperative 1 month,3 months,12 months,the Lysholm score and KT-1000 value were used to evaluate the function of the knee.Results The tunnel enlargement rate was 34.4％ (11/32),grade 1 in 6 cases,grade 2 in 5 cases,Lysholm score average of (93.2 ± 3.6) scores,including grade 0 (94.2 ± 2.6) scores,grade 1 (93.7 ± 3.1) scores,grade 2 (91.2 ± 2.8) scores,there was significant difference between femoral tunnel of grade 0 and grade 2 (P ＜ 0.05),but grade 0 and grade 1,grade 1 and grade 2 had no significant difference (P＞ 0.05).KT-1000 average value was (1.4 ± 0.6) mm,including grade 0(1.2 ± 0.8) mm,grade 1 (1.3 ± 0.5) mm,grade 2 (1.5 ± 0.3) mm,there was no significant difference between femoral tunnel of grade 0 and grade 1 (P ＞ 0.05),but grade 2 and grade 0,grade 2 and grade 1 had significant difference (P ＜0.05).Conclusions Femoral tunnel has different degrees of enlargement after PCL reconstruction with tendon allograft,bone tunnel enlargement has significant effect on functional of the knee,appropriate angle of bone tunnel expansion helps to reduce the incidence of bone tunnel.
