CAJ | 학술논문

背景：以同种异体肌腱移植重建前交叉韧带是现在较流行的手术方式，但缺乏中长期临床疗效的评价。目的：分析膝关节镜下同种异体胫前肌腱移植重建前交叉韧带的方法及其中期疗效。方法：回顾分析应用同种异体肌腱移植重建前交叉韧带的25例患者的临床资料，比较移植前及移植后3年以上的中期随访 Lysholm、Tegner、IKDC关节评分。结果与结论：所有病例均获得随访。25例患者同种异体肌腱移植后Lysholm关节评分、Tegner评分和IKDC评分均显著高于移植前(均P<0.05)。所有病例移植后均未出现肺栓塞、感染、移植物断裂等并发症。关节功能明显改善。1例前抽屉试验弱阳性。Lachman试验征均为阴性，轴移试验均阴性。结果表明，关节镜下应用同种异体肌腱移植重建前交叉韧带具有创伤小，并发症少的优势，中期随访疗效优良。
배경：이동충이체기건이식중건전교차인대시현재교류행적수술방식，단결핍중장기림상료효적평개。목적：분석슬관절경하동충이체경전기건이식중건전교차인대적방법급기중기료효。방법：회고분석응용동충이체기건이식중건전교차인대적25례환자적림상자료，비교이식전급이식후3년이상적중기수방 Lysholm、Tegner、IKDC관절평분。결과여결론：소유병례균획득수방。25례환자동충이체기건이식후Lysholm관절평분、Tegner평분화IKDC평분균현저고우이식전(균P<0.05)。소유병례이식후균미출현폐전새、감염、이식물단렬등병발증。관절공능명현개선。1례전추체시험약양성。Lachman시험정균위음성，축이시험균음성。결과표명，관절경하응용동충이체기건이식중건전교차인대구유창상소，병발증소적우세，중기수방료효우량。
BACKGROUND:Alogeneic tendon has been frequently used to reconstruct the anterior cruciate ligament. However, there is a lack of middle- and long-term clinical evaluation. OBJECTIVE:To evaluate the middle- and long-term curative effect of alogeneic tendon reconstruction of the anterior cruciate ligament under arthroscopy. METHODS:Twenty-five patients with anterior cruciate ligament injury under alogeneic tendon transplantation were reviewed retrospectively. They were al folowed up for 3 years or more. The clinical outcomes were evaluated and compared using Lyshlom score scale, IKDC2000 and Tegner score scale. RESULTS AND CONCLUSION:Al the patients were folowed up. Lysholm scale scores on the knee function, Tegner scores and IKDC scores were significantly increased after transplantation (P < 0.05). No complications of infection and compartment syndrome occurred. Symptoms were relieved and the function of knee joint was improved. There was one case weakly positive for anterior drawer test. Both Lachman test and pivot shift test showed negative signs. Overal, the reconstruction of anterior cruciate ligament with alogeneic tendon has less trauma and complications, with good middle-term efficacy.