CAJ | 학술논문

目的：探讨关节镜下膝关节前后交叉韧带重建的效果。方法选择2010年1月至2013年12月前后交叉韧带损伤患者200例，按照就诊时间分为两组，每组100例。研究组经endobtton固定股骨，可吸收螺钉固定胫骨；对照组采用可吸收螺钉固定股骨、胫骨。比较两组疗效。结果研究组手术时间长于对照组，但其术后住院时间、发热时间、关节引流量均少于对照组；研究组轴移实验阴性率91.00％、ROM评价正常率94.00％均优于对照组，差异有统计学意义（ P＜0.05）。结论临床医生应准确掌握关节镜下膝关节前后交叉韧带重建临床特点，根据确诊病例实际情况制定正确治疗方案，保障其疗效及预后。
목적：탐토관절경하슬관절전후교차인대중건적효과。방법선택2010년1월지2013년12월전후교차인대손상환자200례，안조취진시간분위량조，매조100례。연구조경endobtton고정고골，가흡수라정고정경골；대조조채용가흡수라정고정고골、경골。비교량조료효。결과연구조수술시간장우대조조，단기술후주원시간、발열시간、관절인류량균소우대조조；연구조축이실험음성솔91.00％、ROM평개정상솔94.00％균우우대조조，차이유통계학의의（ P＜0.05）。결론림상의생응준학장악관절경하슬관절전후교차인대중건림상특점，근거학진병례실제정황제정정학치료방안，보장기료효급예후。
Objective To investigate the effect of anterior and posterior cruciate ligament reconstruction on arthro-scopy.Methods From January 2010 to December 2013, 200 patients with cruciate ligament injury were selected, and they were divided into two groups according to treatment time, with 100 cases in each group.Patients in study group fixed femoral by endobtton and fixed tibial with absorbable screws;Patients in control group fixed the femoral and tibial with ab-sorbable screws.The effects between the two groups were compared.Results The operative time of study group was sig-nificantly longer than that of control group, but the postoperative hospital stay, fever, joint drainage were significantly less than those of control group;The pivot shift test negative rate (91.00%) , ROM evaluation normal rate (94.00%) of study group were significantly better than those of control group, the differences were significant ( P<0.05) .Conclusions Cli-nicians should accurately grasp the arthroscopic anterior cruciate ligament reconstruction of the knee before and after the clinical features, develop the right treatment plan based on the actual situation of confirmed cases to ensure its efficacy and prognosis.