CAJ | 학술논문

目的：分析经前内侧入路建立股骨骨道进行前交叉韧带(ACL)个体化解剖重建的临床疗效。方法自2012年1月~2013年7月,共有52例患者在关节镜下单束解剖重建膝关节 ACL,重建后用相同的方法进行康复锻炼,对所有患者进行随访,常规查 Lachman 试验,膝关节屈伸活动度,轴移试验,Lysholm 膝关节评分,并进行比较。结果所有患者的膝关节屈伸活动度都在正常范围以内,没有出现韧带撞击现象,患者术后进行 Lachman 试验显示Ⅰ度阳性2例,轴移试验均阴性。膝关节 Lysholm 评分：重建前、后膝关节 Lysholm 评分差异有统计学意义(P <0.001)。结论经前内侧入路能更精确地寻找 ACL 的股骨解剖止点并进行个体化解剖重建,操作手法简单且能较快恢复膝关节功能,对恢复膝关节的稳定性起到了很好的作用。
목적：분석경전내측입로건립고골골도진행전교차인대(ACL)개체화해부중건적림상료효。방법자2012년1월~2013년7월,공유52례환자재관절경하단속해부중건슬관절 ACL,중건후용상동적방법진행강복단련,대소유환자진행수방,상규사 Lachman 시험,슬관절굴신활동도,축이시험,Lysholm 슬관절평분,병진행비교。결과소유환자적슬관절굴신활동도도재정상범위이내,몰유출현인대당격현상,환자술후진행 Lachman 시험현시Ⅰ도양성2례,축이시험균음성。슬관절 Lysholm 평분：중건전、후슬관절 Lysholm 평분차이유통계학의의(P <0.001)。결론경전내측입로능경정학지심조 ACL 적고골해부지점병진행개체화해부중건,조작수법간단차능교쾌회복슬관절공능,대회복슬관절적은정성기도료흔호적작용。
Objective To observe the clinical efficacy of the anatomical reconstruction of anterior cruciate ligament (ACL)through anteromedial (AM)portal femoral bone tract technique. Methods January 2012~July 2013 fifty-two cases underwent arthroscopy-guided anatomic single-bundle ACL reconstruction.All the patients did the same recovery exercises and were followed up.Traditional physical examination such as Lachman test,anterior draw test and pivot shift test were conducted for all these patients after the surgery. Lysholm knee joint score was done.And the obtained data was compared between the two groups. Results The flexion-extension motions of all knee joints were in the normal range.No ligament impact occurred.The pivot shift test results were negative in all cases.Post-operative Lachman test results showed 2 cases were grade I positive.Compared of pre-construction Lysholm knee joint scores to post-construction yielded statis-tical difference (P <0.001). Conclusion It seemed to be better to match the native femoral ACL footprint through AM portal,and reconstruct individualized anatomic ACL.It is a simple and good technique to rapidly recover the knee joint function and stability.