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可吸收锚钉修复部分前交叉韧带断裂的短期疗效

[Short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament rupture].

作者信息

You Tian, Bai Lu, Zhang Xintao, Li Wei, Jiang Changqing, Zhang Wentao

机构信息

Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen Guangdong, 518036, P.R.China.

Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen Guangdong, 518036,

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Oct 15;31(10):1190-1194. doi: 10.7507/1002-1892.201610026.

Abstract

OBJECTIVE

To study the short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament (ACL) rupture.

METHODS

Between December 2013 and February 2015, 22 patients with partial ACL rupture were repaired with absorbable anchor under arthroscopy. There were 12 males and 10 females with an average age of 27.5 years (range, 20-44 years). The injury located at left knee in 8 cases and at right knee in 14 cases. The time from injury to admission ranged from 2 to 13 days (mean, 9.8 days). Sixteen partial ACL ruptures combined with meniscus injury. The effectiveness was assessed by Tegner score, Lysholm score, International Knee Documentation Committee (IKDC) score, visual analogue scale (VAS) score, and MRI, as well as knee laxity was evaluated by KT-1000.

RESULTS

All incisions healed at stage Ⅰ without any complication. All patients were followed up 12 months. ACL rerupture did not occurred during follow-up. There was no significant difference in Tegner score, Lysholm score, and IKDC score between before injury and at 12 months after operation ( >0.05). And the median satisfaction VAS score was 9.5 (range, 9-10). The tibial anterior translation difference was 0.5 mm (range, 0-6 mm). MRI showed that the scarring and continuity of the ligament were rated as grade 1 in all patients.

CONCLUSION

Arthroscopic repairing by absorbable anchor is a feasible method for partial ACL rupture, with ideal knee function, good satisfaction, and satisfactory short-term effectiveness.

摘要

目的

研究可吸收锚钉修复部分前交叉韧带(ACL)断裂的短期疗效。

方法

2013年12月至2015年2月,对22例部分ACL断裂患者在关节镜下采用可吸收锚钉进行修复。其中男性12例,女性10例,平均年龄27.5岁(范围20 - 44岁)。损伤位于左膝8例,右膝14例。受伤至入院时间为2至13天(平均9.8天)。16例部分ACL断裂合并半月板损伤。通过Tegner评分、Lysholm评分、国际膝关节文献委员会(IKDC)评分、视觉模拟量表(VAS)评分及MRI评估疗效,采用KT - 1000评估膝关节松弛度。

结果

所有切口均Ⅰ期愈合,无任何并发症。所有患者均随访12个月。随访期间未发生ACL再次断裂。受伤前与术后12个月的Tegner评分、Lysholm评分及IKDC评分差异无统计学意义(>0.05)。VAS满意度评分中位数为9.5(范围9 - 10)。胫骨前移差值为0.5 mm(范围0 - 6 mm)。MRI显示所有患者韧带瘢痕形成及连续性均为1级。

结论

可吸收锚钉关节镜下修复部分ACL断裂是一种可行的方法,膝关节功能理想,满意度高,短期疗效满意。

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本文引用的文献

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Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL.动态韧带内稳定术:一种保留破裂前交叉韧带的新技术。
Knee Surg Sports Traumatol Arthrosc. 2015 Apr;23(4):1215-21. doi: 10.1007/s00167-014-2949-x. Epub 2014 Mar 21.

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