CAJ | 학술논문

目的：探讨关节镜下重建前后交叉韧带一期联合修复/重建后内、后外侧韧带结构治疗膝关节多韧带损伤并早期系统功能锻炼的临床疗效。方法：选取2009年12月～2013年10月收治的18例膝关节多发韧带损伤患者，男性11例，女性7例，年龄30～47岁，平均年龄40岁。采取膝关节镜下自体肌腱重建前交叉韧带(ACL)，异体肌腱重建后交叉韧带(PCL)、联合修复/重建后内(PMC)、后外侧韧带结构(PLC)，并早期行系统康复功能锻炼。结果：本组18例患者均获得随访，随访时间6～52个月，平均随访时间30.2个月。膝关节lysholm评分术前(26.6±5.2)分，末次随访时(77.1±10.5)分；患膝关节活动度术前(65.5±5.5)°，末次随访时(125.0±8.9)°，手术前、末次随访时比较差异均有统计学意义(P＜0.05)。结论：关节镜下重建前后交叉韧带一期联合修复/重建后内、后外侧韧带结构并早期系统功能锻炼是治疗膝关节多韧带损伤能获得良好临床疗效。
목적：탐토관절경하중건전후교차인대일기연합수복/중건후내、후외측인대결구치료슬관절다인대손상병조기계통공능단련적림상료효。방법：선취2009년12월～2013년10월수치적18례슬관절다발인대손상환자，남성11례，녀성7례，년령30～47세，평균년령40세。채취슬관절경하자체기건중건전교차인대(ACL)，이체기건중건후교차인대(PCL)、연합수복/중건후내(PMC)、후외측인대결구(PLC)，병조기행계통강복공능단련。결과：본조18례환자균획득수방，수방시간6～52개월，평균수방시간30.2개월。슬관절lysholm평분술전(26.6±5.2)분，말차수방시(77.1±10.5)분；환슬관절활동도술전(65.5±5.5)°，말차수방시(125.0±8.9)°，수술전、말차수방시비교차이균유통계학의의(P＜0.05)。결론：관절경하중건전후교차인대일기연합수복/중건후내、후외측인대결구병조기계통공능단련시치료슬관절다인대손상능획득량호림상료효。
Objective: To nvestigate the clinical outcomes with arthroscopic in multiple-ligament injury of the knee joint by reconstruction of the ACL and PCL and repair/reconstruction of the injured PMC and PLC in one stage.Methods;Select the 18 cases of multiple knee ligament injury patients from December 2009 to October 2013, 11 males and 7 females, aged 30-47 years, taken ACL and PCL reconstruction and PMC and PLC repair or reconstruction.Results:The 18 patients were followed up for 6 to 52 months. The lysholm scores were (26.6 ± 5.2) preoperatively and (77.1 ± 10.5) at the final follow-up; the range of motion were (65.5 ± 5.5) ° preoperatively and (125.0 ± 8.9) ° at the final follow-up (P<0.05) .Conclusion:The reconstruction of ACL and PCL and one-stage combined repairing or reconstructing the PMC and PLC by arthroscopy, combined with rehabilitation exercise in early post-operation stage has good clinical effects.