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肯尼迪韧带增强装置加固前交叉韧带重建的评估:一项关节镜及组织学研究

Evaluation of anterior cruciate reconstruction reinforced by the Kennedy ligament augmentation device. An arthroscopic and histological study.

作者信息

Asahina S, Yamamoto H, Muneta T, Ishibashi T, Furuya K

机构信息

Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Japan.

出版信息

Int Orthop. 1995;19(4):229-33. doi: 10.1007/BF00185228.

Abstract

Fifty anterior cruciate ligament reconstructions with the Kennedy ligament augmentation device were examined arthroscopically and histologically 6 to 61 months after operation. The autogenous segments used were the quadriceps tendon in 13 and the semitendinosus tendon, with or without gracilis, in 37. The arthroscopic findings were rated as good in 31, fair in 15 and poor in 4, and there was correlation between these grades and KT-1000 measurements. The histological findings were graded as good in 17, fair in 26 and poor in 4; these did not correlate with the arthroscopic grades but with the time interval after reconstruction. Maturation of the autogenous augmented segment was found to progress with time, but took more than 3 years to become complete.

摘要

对50例使用肯尼迪韧带增强装置进行前交叉韧带重建的患者在术后6至61个月进行了关节镜检查和组织学检查。所使用的自体组织段中,13例为股四头肌腱,37例为半腱肌肌腱(伴或不伴股薄肌)。关节镜检查结果评为良好的有31例,中等的有15例,差的有4例,这些分级与KT-1000测量结果之间存在相关性。组织学检查结果评为良好的有17例,中等的有26例,差的有4例;这些结果与关节镜分级无关,而是与重建后的时间间隔有关。发现自体增强组织段的成熟随时间推移而进展,但需要超过3年才能完全成熟。

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