CAJ | 학술논문

[目的]探讨双束重建后交叉韧带(PCL )的手术方式及临床疗效.[方法]回顾性分析2007年3月至2010年2月单纯 PCL 损伤行关节镜下异体跟腱股骨侧双隧道,胫骨侧单隧道重建 PCL 的患者56例.术后随访时行三维 CT 、MRI 检查影像学变化,KT‐2000测量双侧膝关节膝关节前后向松弛差异,并按照 Ly‐sholm 、Tegner 、改良 Larson 膝关节评分标准进行疗效评价.[结果]56例获得随访病例中,随访时间37.3(24~56)个月,除1例因排斥反应关节肿胀、发热,行关节镜冲洗后好转,2例后抽屉实验阳性,其余患者随访时移植物位置及关节功能良好.患者术前、术后 Lysholm 、Tegner 、改良 Larson 膝关节评分及 KT‐2000测量值比较均有统计学意义( P <0.05).[结论]双束重建 PCL 符合解剖生理结构,可很好的恢复膝关节功能,术后疗效满意.
[목적]탐토쌍속중건후교차인대(PCL )적수술방식급림상료효.[방법]회고성분석2007년3월지2010년2월단순 PCL 손상행관절경하이체근건고골측쌍수도,경골측단수도중건 PCL 적환자56례.술후수방시행삼유 CT 、MRI 검사영상학변화,KT‐2000측량쌍측슬관절슬관절전후향송이차이,병안조 Ly‐sholm 、Tegner 、개량 Larson 슬관절평분표준진행료효평개.[결과]56례획득수방병례중,수방시간37.3(24~56)개월,제1례인배척반응관절종창、발열,행관절경충세후호전,2례후추체실험양성,기여환자수방시이식물위치급관절공능량호.환자술전、술후 Lysholm 、Tegner 、개량 Larson 슬관절평분급 KT‐2000측량치비교균유통계학의의( P <0.05).[결론]쌍속중건 PCL 부합해부생리결구,가흔호적회복슬관절공능,술후료효만의.
Objective] To explore the surgical approach and clinical efficacy of double bundles for the recon ‐struction of posterior cruciate ligament(PCL) .[Methods]A total of 56 patients with simple PCL injury undergoing arthroscopic allogeneic achilles tendon for PCL reconstruction via twin femoral tunnel and single tibial tunnel from March 2007 to Feb .2010 were analyzed retrospectively .During the follow up after the operation ,3‐dimensional CT and MRI were performed for the image examination .KT‐2000 was used to measure the difference in relaxation be‐tween bilateral knee joints .According to Lysholm ,Tegner and modified Larson knee joint score criteria ,the efficacy was assessed .[Results] All 56 patients were followed up for 24 ~ 56 months(mean 37 .3 months) .Except one patient with joint swelling and fever due to rejection reaction was improved by arthroscopic irrigation and 2 patients were pos‐terior drawer test(+ ) ,other patients had good location of the good location of the grafts and joint function .There were significant differences in Lysholm ,Tegner ,modified Larson knee joint score and KT‐2000 value between before and after the operation( P < 0 .05) .[Conclusion] Double‐bundle reconstruction of PCL accords with anatomic physi‐ological structure ,and can restore knee joint function well and obtain satisfactory postoperative results .