Grøntvedt T, Engebretsen L, Bredland T
Trondheim University Hospital, Norway.
J Bone Joint Surg Br. 1996 Sep;78(5):817-22.
In 100 consecutive patients with chronic deficiency of the anterior cruciate ligament we reconstructed the ligament using a bone-patellar tendon-bone autograft either with or without a Kennedy ligament augmentation device. The patients had an aggressive rehabilitation programme supervised by two physiotherapists. They were followed prospectively for at least two years by one surgeon, and assessed after six months and at one and two years. No significant functional or clinical difference was found between the two groups and the stability of the knees did not deteriorate with time in either group. The addition of a Kennedy ligament augmentation device gave no better results than the bone-patellar tendon-bone technique alone.
在100例连续的前交叉韧带慢性损伤患者中,我们采用带骨块的髌腱自体移植术重建韧带,部分患者使用了肯尼迪韧带增强装置,部分未使用。患者接受了由两名物理治疗师监督的积极康复计划。由一名外科医生对他们进行了至少两年的前瞻性随访,并在六个月、一年和两年后进行评估。两组之间未发现明显的功能或临床差异,且两组膝关节的稳定性均未随时间推移而恶化。使用肯尼迪韧带增强装置并未比单纯的带骨块的髌腱技术取得更好的效果。