Sun Qiang, Zhao De-wei, Tian Hui
Department of Orthopedics, Zhangshan Hospital affiliated to Dalian University, Dalian, China.
Zhonghua Yi Xue Za Zhi. 2007 Dec 4;87(45):3196-9.
To investigate the therapeutic effect of transposition of semitendinosus tendon combined with femur insertion of medial collateral ligament (MCL) and reconstruction of anterior cruciate ligament (ACL) with autograft bone-patellar tendon-bone in treatment of MCL laxity complicated by ACL injury of the knee.
Twenty patients (20 knees), 14 male and 6 female, aged 32.6 (16-64), 1 case at grade II and 19 cases at grade III according to X ray classification, all cases at grade III by MRI evaluation, and with preoperative Lysholm knee joint score of 48.9 (35-65), underwent transposition of semitendinosus tendon combined with femur insertion of medial collateral ligament (MCL) and reconstruction of anterior cruciate ligament (ACL) with autograft bone-patellar tendon-bone. Followed up was conducted for 19.2 (6-59) months.
The postoperative Lysholm score was 83.9 (50-96). Eighteen of the 20 patients obtained an excellent result with good function of the knee joint except one case with osteoarthritis and one case with limited range of motion of the knee (90 degree), and the good-to-excellent rate was 90%.
Reconstruction with autograft of the bone-patellar tendon-bone and transposition of semitendinosus tendon combined with femur insertion of MCL proximal transfer is a reliable treatment method for MCL laxity complicated by old ACL injury of the knee.
探讨半腱肌肌腱转位联合内侧副韧带（MCL）股骨止点重建及自体骨-髌腱-骨重建前交叉韧带（ACL）治疗膝关节MCL松弛合并ACL损伤的疗效。
20例患者（20膝），男14例，女6例，年龄32.6岁（16 - 64岁）。根据X线分类，II级1例，III级19例；MRI评估均为III级，术前Lysholm膝关节评分为48.9分（35 - 65分）。均行半腱肌肌腱转位联合内侧副韧带（MCL）股骨止点重建及自体骨-髌腱-骨重建前交叉韧带（ACL）。随访19.2个月（6 - 59个月）。
术后Lysholm评分为83.9分（50 - 96分）。20例患者中，除1例患骨关节炎、1例膝关节活动范围受限（90度）外，18例膝关节功能优良，优良率为90%。
自体骨-髌腱-骨重建及半腱肌肌腱转位联合MCL近端股骨止点转移重建是治疗膝关节MCL松弛合并陈旧性ACL损伤的可靠方法。
