CAJ | 학술논문

目的：探讨使用 Ridigfix 与 Intrafix 组合固定自体半腱肌加股薄肌重建前交叉韧带(ACL)的意义。方法对56例 ACL 损伤患者在关节镜下使用 Ridigfix 与 Intrafix 组合固定自体半腱肌加股薄肌重建 ACL,观察术前、术后 Lysholm 膝关节功能评分。结果术后患者伤口均Ⅰ期愈合,术后无感染、韧带断裂、韧带松动等并发症。56例患者均获随访,时间6~48个月。参照敖英芳临床判断标准：优40例,良10例,可 6例,优良率89．3%。 Lysholm 评分术前40．57分±8．78分,术后90．35分±3．13分,差异有统计学意义(P <0．05)。结论关节镜下应用 Ridigfix 与 Intrafix 组合固定自体半腱肌加股薄肌重建 ACL 效果良好。
목적：탐토사용 Ridigfix 여 Intrafix 조합고정자체반건기가고박기중건전교차인대(ACL)적의의。방법대56례 ACL 손상환자재관절경하사용 Ridigfix 여 Intrafix 조합고정자체반건기가고박기중건 ACL,관찰술전、술후 Lysholm 슬관절공능평분。결과술후환자상구균Ⅰ기유합,술후무감염、인대단렬、인대송동등병발증。56례환자균획수방,시간6~48개월。삼조오영방림상판단표준：우40례,량10례,가 6례,우량솔89．3%。 Lysholm 평분술전40．57분±8．78분,술후90．35분±3．13분,차이유통계학의의(P <0．05)。결론관절경하응용 Ridigfix 여 Intrafix 조합고정자체반건기가고박기중건 ACL 효과량호。
Objective To explore the practical significance and effects of anterior cruciate ligament reconstruction with autologous semitendinosus and gracilis fixed by Ridigfix and Intrafix combination. Methods Fifty-six patients with anterior cruciate ligament injury underwent arthroscopic anterior cruciate ligament reconstruction with autologous semitendinosus and gracilis fixed by Ridigfix and Intrafix combination. All cases were evaluated with Lysholm scoring system. Results All cases was healed by first intention without severe complication such as infection,transplanted ligament rupture and implant loosing. All the patients were available at follow-up, the follow-up time was from 6 months to 48 months. The results were evaluated according to the AO Ying-fang grading system, excellent in 40 ca-ses, good in 10 and fair in 6, the excellent-good rate was 89. 3% . Lysholm scores by preoperative 40. 57 ± 8. 78 points increased up to 90. 35 ± 3. 13 points 3 months after surgery,there was significant difference(P < 0. 05). Con-clusions Reconstruction with autologous semitendinous and gracilis fixed by Ridigfix and Intrafix is an effective treatment of the anterior cruciate ligament injury.