中华临床医师杂志（电子版）
中華臨床醫師雜誌（電子版）
중화림상의사잡지（전자판）
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
8期
1292-1297
,共6页
金鑫%夏长所%肖程程%张才龙
金鑫%夏長所%肖程程%張纔龍
금흠%하장소%초정정%장재룡
前交叉韧带%Edobutton%Intrafix%可吸收螺钉
前交扠韌帶%Edobutton%Intrafix%可吸收螺釘
전교차인대%Edobutton%Intrafix%가흡수라정
Anterior cruciate ligament%Endobutton%Intrafix%Absorbable interference screw
目的：对比应用Endobutton联合Intrafix与可吸收挤压螺钉在关节镜下进行自体腘绳肌腱重建前交叉韧带的疗效。方法选取自2012年7月至2013年8月于青岛大学附属医院行自体腘绳肌腱重建前交叉韧带的患者60例，分为两组。第一组30例患者运用Endobutton联合Intrafix固定，第二组30例患者用可吸收挤压螺钉固定。观察并记录术前及术后膝关节前抽屉试验、Lachman试验、轴移试验结果及Lysholm膝关节评分和IKDC评分。结果两组患者均经过6～25个月的随访，第一组患者随访中有7例膝关节活动时仍有轻度疼痛，5例患者Lachman征Ⅰ度阳性。Lysholm评分和IKDC评分由重建前的（56.2±5.7）分和（50.0±4.3）分增长到重建后的（89.2±2.7）分和（90.1±3.1）分。经t检验，差异有统计学意义（P＜0.05）。第二组患者随访中8例膝关节活动时仍有轻度疼痛，7例Lachman征Ⅰ度阳性。Lysholm评分和IKDC评分由重建前（57.6±5.5）分和（51.4±4.5）分增长到重建后（88.8±2.5）分和（89.4±3.3）分，经t检验，差异有统计学意义（P＜0.05）。两组患者重建后Lysholm评分和IKDC评分差异无统计学意义（P＞0.05）。结论经过分析，在交叉韧带重建手术中，Endobutton联合Intrafix与可吸收挤压螺钉均是良好的固定方法，各有优势。
目的：對比應用Endobutton聯閤Intrafix與可吸收擠壓螺釘在關節鏡下進行自體腘繩肌腱重建前交扠韌帶的療效。方法選取自2012年7月至2013年8月于青島大學附屬醫院行自體腘繩肌腱重建前交扠韌帶的患者60例，分為兩組。第一組30例患者運用Endobutton聯閤Intrafix固定，第二組30例患者用可吸收擠壓螺釘固定。觀察併記錄術前及術後膝關節前抽屜試驗、Lachman試驗、軸移試驗結果及Lysholm膝關節評分和IKDC評分。結果兩組患者均經過6～25箇月的隨訪，第一組患者隨訪中有7例膝關節活動時仍有輕度疼痛，5例患者Lachman徵Ⅰ度暘性。Lysholm評分和IKDC評分由重建前的（56.2±5.7）分和（50.0±4.3）分增長到重建後的（89.2±2.7）分和（90.1±3.1）分。經t檢驗，差異有統計學意義（P＜0.05）。第二組患者隨訪中8例膝關節活動時仍有輕度疼痛，7例Lachman徵Ⅰ度暘性。Lysholm評分和IKDC評分由重建前（57.6±5.5）分和（51.4±4.5）分增長到重建後（88.8±2.5）分和（89.4±3.3）分，經t檢驗，差異有統計學意義（P＜0.05）。兩組患者重建後Lysholm評分和IKDC評分差異無統計學意義（P＞0.05）。結論經過分析，在交扠韌帶重建手術中，Endobutton聯閤Intrafix與可吸收擠壓螺釘均是良好的固定方法，各有優勢。
목적：대비응용Endobutton연합Intrafix여가흡수제압라정재관절경하진행자체객승기건중건전교차인대적료효。방법선취자2012년7월지2013년8월우청도대학부속의원행자체객승기건중건전교차인대적환자60례，분위량조。제일조30례환자운용Endobutton연합Intrafix고정，제이조30례환자용가흡수제압라정고정。관찰병기록술전급술후슬관절전추체시험、Lachman시험、축이시험결과급Lysholm슬관절평분화IKDC평분。결과량조환자균경과6～25개월적수방，제일조환자수방중유7례슬관절활동시잉유경도동통，5례환자Lachman정Ⅰ도양성。Lysholm평분화IKDC평분유중건전적（56.2±5.7）분화（50.0±4.3）분증장도중건후적（89.2±2.7）분화（90.1±3.1）분。경t검험，차이유통계학의의（P＜0.05）。제이조환자수방중8례슬관절활동시잉유경도동통，7례Lachman정Ⅰ도양성。Lysholm평분화IKDC평분유중건전（57.6±5.5）분화（51.4±4.5）분증장도중건후（88.8±2.5）분화（89.4±3.3）분，경t검험，차이유통계학의의（P＜0.05）。량조환자중건후Lysholm평분화IKDC평분차이무통계학의의（P＞0.05）。결론경과분석，재교차인대중건수술중，Endobutton연합Intrafix여가흡수제압라정균시량호적고정방법，각유우세。
Objective To compare the clinical results of Endobutton joint Intrafix and absorbable interference screw fixation after ACL reconstruction with autologous hamstring tendon. Methods 60 patients who had been treated with arthroscopic ACL reconstruction using autologous hamstring tendon, were selected from Affiliated Hospital of Qingdao University (2012-07 to 2103-08). According to different fixation, they were divided into group one (30 patients, with Edobutton joint Intrafix) and group two (30 patients, with absorbable interference screw). Preoperative and postoperative knee anterior drawer test, Lachman test, pivot shift test were observed. And knee function was evaluated by Lysholm and IKDC systems. Results The two groups of patients were followed up for 6-25 months. In the first group:7 patients knee still had mild pain, LachmanⅠdegree positive was in 5 cases. Lysholm and IKDC scores by 56.2±5.7 and 50.0±4.3 grew to 89.2±2.7 and 90.1±3.1. There were statistically significant differences between preoperation and postoperation (P<0.05). In the second group:8 patients knee still had mild pain, LachmanⅠdegree positive was in 7 cases. Lysholm and IKDC scores by 57.6±5.5 and 51.4±4.5 grew to reconstruction 88.8±2.5 and 89.4±3.3. There were statistically significant differences between preoperation and postoperation (P<0.05). After reconstruction, the Lysholm and IKDC scores of the two groups of patients was not statistically significant (P>0.05). Conclusions After analysis, both ways are reliable fixation ways in anterior cruciate ligament.
