采用髌腱自体移植和Rigidfix固定的关节镜下前交叉韧带重建术——中期功能结果
Arthroscopic ACL reconstruction using patellar bone tendon autograft and Rigidfix fixation - A midterm functional outcome.
作者信息
Sudevan Prasanth Jayakumari, Chandrasekharan Jayadev, Sambandam Senthil Nathan, Rohinikumar Ganeshkumar Jayasree, Annamalai Sakthivel, Mounasamy Varatharaj
机构信息
Department of Orthopaedics, K.G. Hospital and Postgraduate Medical Institute, Coimbatore, Tamil Nadu, India.
Medical Center Ambulatory Care Center, Richmond, Virginia, USA.
出版信息
Muscles Ligaments Tendons J. 2017 Sep 18;7(2):247-255. doi: 10.11138/mltj/2017.7.2.247. eCollection 2017 Apr-Jun.
BACKGROUND
Arthroscopic reconstruction of torn Anterior Cruciate Ligament (ACL) with bone patellar tendon bone autograft (BTB) has become the gold standard in treating ACL tear with high success rate. The purpose of this study was to prospectively evaluate the functional outcome after arthroscopic ACL reconstruction using BTB via Rigidfix femoral fixation.
MATERIALS AND METHOD
We evaluated the result of 21 knees that have been treated with arthroscopic ACL reconstruction using BTB autograft for femoral fixation and bioabsorbable interference screw for tibia from March 2014 to August 2015. The mean follow up period was 18 months.
RESULTS AND CONCLUSION
The Lysholm score postoperatively was 89.04. 23.8% of the 21 patients have good to excellent outcome, 66.7% patients have good to fair outcome and 9.5% patient have fair outcome.
LEVEL OF EVIDENCE
IV.
背景
采用自体骨-髌腱-骨（BTB）移植进行关节镜下前交叉韧带（ACL）撕裂重建术已成为治疗ACL撕裂的金标准，成功率很高。本研究的目的是前瞻性评估通过Rigidfix股骨固定技术采用BTB进行关节镜下ACL重建术后的功能结果。
材料与方法
我们评估了2014年3月至2015年8月期间采用BTB自体移植进行股骨固定和生物可吸收挤压螺钉进行胫骨固定的关节镜下ACL重建术治疗的21例膝关节的结果。平均随访期为18个月。
结果与结论
术后Lysholm评分为89.04。21例患者中，23.8%的患者结果为良好至优秀，66.7%的患者结果为良好至中等，9.5%的患者结果为中等。
证据级别
IV级。
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