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[使用拉芙桑人工关节进行膝关节前交叉韧带整形手术的远期结果]

[Late results of plastic surgery of the anterior cruciate ligament of the knee joint using a lavsan endoprosthesis].

作者信息

Tkachenko S S, Rikun O V, Gushelik V F

出版信息

Ortop Travmatol Protez. 1989 Feb(2):7-10.

PMID:2726232
Abstract

In 1964-1986 774 reconstruction-and-restoration operations for injuries of the bursal and ligamental apparatus of the knee joint were performed, in 588 of this number lavsan endoprostheses were used. Clinical and roentgenologic analysis of the long-term results of endoprosthetics of the anterior cruciate ligament was made in 72 patients with a follow-up period of 10-23 years. The results were good in 54 patients (75%) satisfactory in 8 patients (11.1%) and not satisfactory in 10 patients (13.9%). In 28 of 31 patients with a follow-up period of 20 years and more the results were good. When the operation technique is observed, lavsan vascular endoprostheses and bands may remain and function as the cruciate ligaments of the knee joints for over 2 decades. The long-term results in such cases exceed those after the traditional auto- and alloplasties.

摘要

1964年至1986年期间,共进行了774例膝关节滑囊和韧带装置损伤的重建与修复手术,其中588例使用了拉芙桑人工关节。对72例接受前交叉韧带人工关节置换术的患者进行了临床和X线分析,随访期为10至23年。结果显示,54例患者(75%)效果良好,8例患者(11.1%)效果满意,10例患者(13.9%)效果不满意。在31例随访期超过20年的患者中,28例效果良好。若遵循手术技术,拉芙桑血管化人工关节和束带可留存并发挥膝关节交叉韧带的功能超过20年。此类病例的长期效果优于传统自体移植和异体移植术后的效果。

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