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使用冻干阔筋膜异体移植物进行前交叉韧带重建的长期随访

Long-term followup of anterior cruciate ligament reconstruction using freeze-dried fascia lata allografts.

作者信息

Pritchard J C, Drez D, Moss M, Heck S

机构信息

Orthopaedic Rehabilitation and Sports Medicine Center, Lake Charles Memorial Hospital, Louisiana, USA.

出版信息

Am J Sports Med. 1995 Sep-Oct;23(5):593-6. doi: 10.1177/036354659502300513.

DOI:10.1177/036354659502300513
PMID:8526276
Abstract

We identified 79 patients who underwent arthroscopically assisted intraarticular anterior cruciate ligament reconstruction with freeze-dried fascia lata allografts and an additional lateral extraarticular reconstruction. We were able to contact 62 patients (79%) for follow-up evaluation at an average of 134.5 months. Forty patients (51%) returned for objective evaluation. Lysholm scores at followup averaged 92.3 and Tegner activity scores averaged 5.1. Only four (6%) of the 62 patients contacted reported episodes of full giving way. Thirty (75%) of the 40 patients examined demonstrated 3 mm or less side-to-side difference on KT-1000 arthrometer manual maximum evaluation. Forty-eight (77%) of the 62 patients were participating in sporting activities at final followup. No patient had evidence of graft rejection.

摘要

我们确定了79例接受关节镜辅助下使用冻干阔筋膜异体移植物进行关节内前交叉韧带重建以及额外外侧关节外重建的患者。我们成功联系到了62例患者(79%)进行随访评估,平均随访时间为134.5个月。40例患者(51%)返回进行客观评估。随访时Lysholm评分平均为92.3分,Tegner活动评分平均为5.1分。在联系到的62例患者中,只有4例(6%)报告有完全失稳发作。在接受检查的40例患者中,有30例(75%)在KT-1000关节测径仪手动最大评估时显示两侧差异在3毫米或更小。在最后随访时,62例患者中有48例(77%)参与体育活动。没有患者有移植物排斥的证据。

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