CAJ | 학술논문

目的：分析膝关节脱位合并多韧带损伤的手术治疗效果。方法2009年9月—2013年8月收治膝关节脱位合并多韧带损伤患者31例，应用关节镜技术重建前后交叉韧带，并同时通过微创切口修补内侧副韧带、外侧副韧带及内、外侧复合体损伤。重建材料选择自体或异体肌腱，术后进行康复训练。结果所有患者均获得随访，时间6～24个月。术后6个月随访膝关节Lysholm评分平均（85．0±1．2）分，终末随访时平均（92．0±1．8）分，与术前（5．0±2．1）分相比差异具有统计学意义（ t ＝5．036， P ＜0．01）；膝关节活动度术后6个月达（121．0±1．6）°。结论关节镜下重建前后交叉韧带结合微创切口修复多韧带损伤，可以明显改善膝关节功能，临床疗效较好。
목적：분석슬관절탈위합병다인대손상적수술치료효과。방법2009년9월—2013년8월수치슬관절탈위합병다인대손상환자31례，응용관절경기술중건전후교차인대，병동시통과미창절구수보내측부인대、외측부인대급내、외측복합체손상。중건재료선택자체혹이체기건，술후진행강복훈련。결과소유환자균획득수방，시간6～24개월。술후6개월수방슬관절Lysholm평분평균（85．0±1．2）분，종말수방시평균（92．0±1．8）분，여술전（5．0±2．1）분상비차이구유통계학의의（ t ＝5．036， P ＜0．01）；슬관절활동도술후6개월체（121．0±1．6）°。결론관절경하중건전후교차인대결합미창절구수복다인대손상，가이명현개선슬관절공능，림상료효교호。
Objective To analyze the effect of operation for dislocation of knee joint combined with ligament injury. Methods From 2009 September to 2013 August, 31 patients with multiple ligament injury of knee dislocation were enrolled, they received the reconstruction of anterior and posterior cruciate ligament were achieved under arthroscopy, and at the same time by minimally invasive to repair collateral ligament, lateral collateral ligament, lateral complex injury.Reconstruction ma-terial was selected wiht autologous or allogeneic tendon, rehabilitation training was performed after operation.Results All the patients were followed up for 6-24 months.After 6 months of follow-up, the Lysholm knee score was (85.0 ±1.2) points, at final follow-up, the average socre was (92.0 ±1.8) points, and has a statistical significance difference from the preopera-tive (5.0 ±2.1) phase ( t =5.036, P <0.01);up to 6 months, activity of knee joint after operation was (121.0 ±1.6) °. Conclusion Arthroscopic reconstruction of anterior cruciate ligament and combined with minimally invasive incision repair of ligament injury can significantly improve the function of knee joint with good clinical curative effect.