Cao J-G, Wang L, Zhao H-W, Liu J
Department of Joint Surgery, Tianjin Orthopaedics Hospital, Tianjin, P.R. China.
Eur Rev Med Pharmacol Sci. 2016 Sep;20(18):3738-3742.
The objective of the study is to evaluate the clinic effectiveness of semitendinosus and gracilis transfer for the treatment of medial collateral ligament (MCL) injury of total knee arthroplasty (TKA).
From March 2009 to May 2014, a series of 11 patients with MCL injuries of primary TKA were treated by semitendinosus and gracilis transfer. Another 18 patients (21 knees) were recruited as control group. The two groups of patients were comparable for gender, age, body mass index, varus knee deformity, KSS score, joint activity degree and type of prosthesis comparison without significant difference (p > 0.05). All the patients were regularly followed-up using the American Knee Society Scoring System (KSS).
No patient of either group reported impaired wound healing, joint instability, pain, prosthesis loosening and other complications. At the final follow-up, the mean knee objective score and the functional score of the injury group include (89.82 ± 3.76) points and (89.54 ± 3.50) points, respectively. The control group includes (90.19 ± 3.39) and (90 ± 3.53) points. They were significantly higher than the preoperative conditions. The difference was not statistically significant. The difference of KSS score was not statistically significant (t = 0.158, p = 0.877; t = 0.820, p = 0.432).
The semitendinosus and gracilis transfer are reliable for the treatment of MCL injury of TKA. The semitendinosus and gracilis are close to the knee MCL, which can effectively improve knee function.
本研究旨在评估半腱肌和股薄肌转移术治疗全膝关节置换术（TKA）中内侧副韧带（MCL）损伤的临床疗效。
2009年3月至2014年5月，对11例原发性TKA合并MCL损伤的患者采用半腱肌和股薄肌转移术进行治疗。另选取18例患者（21膝）作为对照组。两组患者在性别、年龄、体重指数、膝内翻畸形、膝关节协会评分（KSS）、关节活动度及假体类型等方面比较，差异无统计学意义（p>0.05）。所有患者均采用美国膝关节协会评分系统（KSS）进行定期随访。
两组患者均未出现伤口愈合不良、关节不稳、疼痛、假体松动等并发症。末次随访时，损伤组膝关节客观评分及功能评分分别为（89.82±3.76）分和（89.54±3.50）分。对照组分别为（90.19±3.39）分和（90±3.53）分。均显著高于术前情况。差异无统计学意义。KSS评分差异无统计学意义（t=0.158，p=0.877；t=0.820，p=0.432）。
半腱肌和股薄肌转移术治疗TKA合并MCL损伤效果可靠。半腱肌和股薄肌靠近膝关节MCL，能有效改善膝关节功能。
