中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
7期
1-3
,共3页
黄广振%黄遂柱%赵甲军%侯玉科
黃廣振%黃遂柱%趙甲軍%侯玉科
황엄진%황수주%조갑군%후옥과
关节镜%前交叉韧带%个体化%解剖重建
關節鏡%前交扠韌帶%箇體化%解剖重建
관절경%전교차인대%개체화%해부중건
Arthroscopy%Anterior cruciate ligament%Individualization%Anatomical reconstruction
目的 探讨关节镜下个体化单束解剖重建膝关节前交叉韧带(ACL)的临床疗效.方法 选择2011年1月至9月行关节镜下个体化单束解剖重建ACL手术患者60例,术后2、3、6、12、18个月定期随访.对膝关节稳定性、活动度、股四头肌肌力、步态、患者自感满意度、Lysholm评分、Tegner评分等数据收集,对其数据进行客观评价.结果 60例患者随访12 ～18个月,平均16个月.术后膝关节活动度、肌力、步态均可早期恢复正常.随访结束时Lysholm评分由术前的(48.4±8.7)分提高至(92.2±2.4)分,Tegner评分由术前的2～4分提高至6～8分,膝关节运动评分显著高于术前,差异有统计学意义(P＜0.05).结论 个体化单束解剖重建ACL能更精确地寻找ACL股、胫骨原足迹点,可达到真正意义上的解剖重建,术后患者膝关节功能明显改善,疗效满意.
目的 探討關節鏡下箇體化單束解剖重建膝關節前交扠韌帶(ACL)的臨床療效.方法 選擇2011年1月至9月行關節鏡下箇體化單束解剖重建ACL手術患者60例,術後2、3、6、12、18箇月定期隨訪.對膝關節穩定性、活動度、股四頭肌肌力、步態、患者自感滿意度、Lysholm評分、Tegner評分等數據收集,對其數據進行客觀評價.結果 60例患者隨訪12 ～18箇月,平均16箇月.術後膝關節活動度、肌力、步態均可早期恢複正常.隨訪結束時Lysholm評分由術前的(48.4±8.7)分提高至(92.2±2.4)分,Tegner評分由術前的2～4分提高至6～8分,膝關節運動評分顯著高于術前,差異有統計學意義(P＜0.05).結論 箇體化單束解剖重建ACL能更精確地尋找ACL股、脛骨原足跡點,可達到真正意義上的解剖重建,術後患者膝關節功能明顯改善,療效滿意.
목적 탐토관절경하개체화단속해부중건슬관절전교차인대(ACL)적림상료효.방법 선택2011년1월지9월행관절경하개체화단속해부중건ACL수술환자60례,술후2、3、6、12、18개월정기수방.대슬관절은정성、활동도、고사두기기력、보태、환자자감만의도、Lysholm평분、Tegner평분등수거수집,대기수거진행객관평개.결과 60례환자수방12 ～18개월,평균16개월.술후슬관절활동도、기력、보태균가조기회복정상.수방결속시Lysholm평분유술전적(48.4±8.7)분제고지(92.2±2.4)분,Tegner평분유술전적2～4분제고지6～8분,슬관절운동평분현저고우술전,차이유통계학의의(P＜0.05).결론 개체화단속해부중건ACL능경정학지심조ACL고、경골원족적점,가체도진정의의상적해부중건,술후환자슬관절공능명현개선,료효만의.
Objective To observe the clinical effect of arthroscopic individualization single bundle anterior cruciate ligament (ACL) reconstruction.Methods With the informed consents,60 cases with ACL injury who underwent arthroscopic reconstruction were selected from Henan province people' s hospital from January 2011 to September2011,all of the patients were followed up after ACL reconstructive surgery.To collect the data of knee stability,range of motion,myodynamic recovery,gait analysis,self-induction satisfaction,Lysholm score (0-100 points,higher scores indicated better functionaI recovery of knee joint),Tegner score (0-10 points,higher scores indicated better functionaI recovery of knee joint),and analyse the kinematic data.Results All of the 60 patients had been followed up for 12-18 months,average 16 months.Active range of motion,gait and quadriceps femoris strength can returned to normal in early postoperative.At the end of follow up:Lysholm scores increased from 48.4 ±8.7 to 92.2 ± 2.4 (P ＜ 0.05).Tegner scores increased from 2-4 to 6-8 (P ＜ 0.05).Conclusions Individualization anatomic ACL reconstruction seemed to best match the native femoral and tibial ACL footprint,and the function of knee joint can be obviously improved in ACL reconstruction.
