Cao Hong-bin, Liang Jun, Xin Jing-yi
Department of Orthopedics, Tianjin Hospital, Tianjin, China.
Zhonghua Yi Xue Za Zhi. 2012 Sep 18;92(35):2460-2.
To evaluate the effects of anterior cruciate ligament reconstruction with peroneus longus tendon and observe the clinical outcomes of ankle joint after the resection of peroneus longus tendon.
From January 2006 to December 2009, 35 patients with anterior cruciate ligament injuries were recruited to undergo surgical procedures. There were 30 males and 5 females with an average age of 31.8 years (range: 21 - 56). All anterior cruciate ligament reconstructions underwent arthroscopy. All ligaments were reconstructed with peroneus longus tendon and fixed with absorb screw. The post-operative assessments included the followings:clinical evaluations, Lysholm knee score, KT-3000 arthrometer evaluation and the American Orthopedic Foot and Ankle Society ankle-hindfoot scale AOFAS).
All cases were followed up for an average follow-up period of 15 months (range: 12 - 24). The healing time was 6 - 15 weeks.according to the Lysholm knee score, their outcomes were excellent (n = 25), good (n = 6), fair (n = 3) and poor (n = 1). The average score was 97.2 (range: 60 - 100). The rate of excellent and good was 88.6%; according to the KT-3000 arthrometer evaluations, the outcomes were normal (n = 28), nearly normal (n = 4), abnormal (n = 2) and poor (n = 1). Preoperatively, the average anterior displacement was 11.59 ± 1.25 mm and the average anterior displacement at final follow-up 1.76 ± 1.83 mm. The average AOFAS score was 96.3 (range: 84 - 100). Lysholm knee score and KT-3000 arthrometer evaluation had statistical differences (P < 0.05) while AOFAS score showed no difference (P > 0.05).
Peroneus longus tendon can be a good substitute of anterior cruciate ligament reconstruction. And its resection has no major influence for ankle joint.
评估采用腓骨长肌腱重建前交叉韧带的效果，并观察切除腓骨长肌腱后踝关节的临床结局。
2006年1月至2009年12月，招募35例前交叉韧带损伤患者接受手术治疗。其中男性30例，女性5例，平均年龄31.8岁（范围：21 - 56岁）。所有前交叉韧带重建均在关节镜下进行。所有韧带均采用腓骨长肌腱重建，并用可吸收螺钉固定。术后评估包括：临床评估、Lysholm膝关节评分、KT-3000关节测量仪评估以及美国矫形足踝协会踝关节-后足评分（AOFAS）。
所有病例平均随访15个月（范围：12 - 24个月）。愈合时间为6 - 15周。根据Lysholm膝关节评分，结果为优（n = 25）、良（n = 6）、可（n = 3）、差（n = 1）。平均评分为97.2分（范围：60 - 100分）。优良率为88.6%；根据KT-3000关节测量仪评估，结果为正常（n = 28）、接近正常（n = 4）、异常（n = 2）、差（n = 1）。术前平均前移距离为11.59±1.25 mm，末次随访时平均前移距离为1.76±1.83 mm。平均AOFAS评分为96.3分（范围：84 - 100分）。Lysholm膝关节评分与KT-3000关节测量仪评估有统计学差异（P < 0.05），而AOFAS评分无差异（P > 0.05）。
腓骨长肌腱可作为前交叉韧带重建的良好替代物。其切除对踝关节无重大影响。
