[关节镜下保留前交叉韧带残端重建的临床结果]
[Clinical outcome of arthroscopic anterior cruciate ligament remnant-preserving reconstruction].
作者信息
Wei Min, Zhu Juan-Li, Liu Yang
机构信息
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China;
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China.
出版信息
Zhongguo Gu Shang. 2017 Jan 25;30(1):25-28. doi: 10.3969/j.issn.1003-0034.2017.01.006.
OBJECTIVE
To evaluate the clinical outcome of arthroscopic anterior cruciate ligament(ACL)reconstruction with remnant cuff preservation.
METHODS
There were 42 cases of ACL tear were performed reconstruction in our department from January 2012 to December 2014. The patients were 28.4 years old on average, 17 males and 25 females. ACL reconstruction was performed under arthroscopy with remnant cuff preservation. The stability of knee was assessed by Lachman test and anterior drawer test. The function of knee was assessed through Lysholm score and Tegner activity rating. MRI of the knee was checked 12 months postoperatively.
RESULTS
The stability tests of all patients were negative postoperatively. Lysholm score of all patients 12 months after operation was 96.8±6.1, which was significantly better than 37.8±7.1 of preoperatively. Tegner activity rating of all patients 12 months after operation was 6.2±0.9, which was significantly better than 2.1±0.4 of preoperatively. It showed the grafts were very well in MRI 12 months after operation.
CONCLUSIONS
Arthroscopic anterior cruciate ligament remnant-preserving reconstruction could restore the stability of knee.
目的
评估保留残端袖套的关节镜下前交叉韧带（ACL）重建的临床效果。
方法
2012年1月至2014年12月，我科对42例ACL撕裂患者进行了重建手术。患者平均年龄28.4岁，男性17例，女性25例。在关节镜下进行保留残端袖套的ACL重建。通过Lachman试验和前抽屉试验评估膝关节稳定性。通过Lysholm评分和Tegner活动评分评估膝关节功能。术后12个月进行膝关节MRI检查。
结果
所有患者术后稳定性试验均为阴性。所有患者术后12个月的Lysholm评分为96.8±6.1，显著优于术前的37.8±7.1。所有患者术后12个月的Tegner活动评分为6.2±0.9，显著优于术前的2.1±0.4。术后12个月的MRI显示移植物情况良好。
结论
关节镜下保留前交叉韧带残端的重建可恢复膝关节稳定性。
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