| 前交叉韧带单束重建和双束解剖重建短期临床疗效的病例对照研究 |
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投稿时间：2012-05-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 王秀峰 |
WANG Xiu-feng |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics Surgery,People's Hospital of Zhuji,Zhejiang 311800,China |
zjywwxf@163.com |
| 杨光 |
YANG Guang |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics Surgery,People's Hospital of Zhuji,Zhejiang 311800,China |
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| 徐铁峰 |
XU Tie-feng |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics Surgery,People's Hospital of Zhuji,Zhejiang 311800,China |
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| 刘铁民 |
LIU Tie-min |
诸暨市人民医院骨科,浙江 诸暨 311800 |
Department of Orthopaedics Surgery,People's Hospital of Zhuji,Zhejiang 311800,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第11期，第891-894页 |
| DOI：10.3969/j.issn.1003-0034.2012.11.003 |
| 基金项目: |
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中文摘要:
目的：比较关节镜下采用单束重建和双束重建前交叉韧带的临床效果.
方法：自2009年1月至2010年5月,45例前交叉韧带撕裂患者分别行前交叉韧带解剖双束重建(双束重建组)和自体腘绳肌腱前交叉韧带单束重建(单束重建组).双束组22例,男15例,女7例;年龄(27.04±3.68)岁;运动损伤3例,交通损伤19例.单束组18例,男13例,女5例;年龄(28.16±4.76)岁;运动损伤2例,交通损伤16例.按照IKDC、Lysholm膝关节评分标准及Lachman试验、轴移试验及KT-1000评估疗效.
结果：双束重建组22例、单束重建组18例均获随访,时间12个月.单束重建组IKDC评分从术前(41.40±6.30)分提高至(95.70±3.10)分;Lysholm评分从(47.20±6.30)分提高至(94.20±2.40)分,双束重建组IKDC评分从术前(40.90±6.10)分提高至(96.10±3.40)分,Lysholm膝关节评分从术前(48.10±6.50)分提高至(95.10±2.49)分,两组差异无统计学意义.两组患者中均有1例Lachman试验I度阳性,1例轴移试验阳性.双束重建组KT-1000值(1.5±1.2) mm,单束重建组KT-1000值(1.9±1.5) mm,两组差异无统计学意义.
结论：关节镜下采用单束重建和双束重建前交叉韧带临床疗效无明显差异. |
| 【关键词】前交叉韧带 关节镜 修复外科手术 病例对照研究 |
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| Case-control study on clinical effects of arthroscopic single-versus double-bundle ACLs reconstructions |
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ABSTRACT
Objective:To compare the clinical results of arthroscopic single and double-bundle ACLs reconstructions.
Methods:From January 2009 to May 2010,45 patients with anterior cruciate ligament tear were divided into two groups. In the first group,the anterior cruciate ligament were anatomical reconstructed with double-bundle semitendinous tendon,and in the second group the anterior cruciate ligaments were anatomical reconstrucated with single bundle semitendinous tendon. There were 22 patients(15 males and 7 females) in double-bundle group,with an average age of (27.04±3.68) years;18 patients(13 males and 5 females) in single bundle group,with an average age of (28.16±4.76) years. Therapeutic effects between two groups were compared according to the IKDC,Lysholm scoring standards and Lachman test,knee pivot shift test,KT-1000.
Results:Twenty-two patients in double-bundle group and 18 patients in single-bundle group were followed-up,and the mean duration was 12 months. The IKDC score of patients in single-bundle group improved from preoperative 41.40±6.30 to postoperatively 95.70±3.10,Lysholm score increased from preoperative 47.20±6.30 to postoperative 94.20±2.40. And the IKDC score of patients in double-bundle group improved from preoperative 40.90±6.10 to postoperative 96.10±3.40,Lysholm score increased from preoperative 48.10±6.50 to postoperative 95.10±2.49. There was no statistically significant difference between the two groups. The Lachman test was positive in 2 patients(1 patient in double-bundle group and 1 patient in single-bundle group);and pivot shift test was positive in 2 patients(1 patient in double-bundle group and 1 patient in single-bundle group). KT-1000 of patients in double- bundle group was (1.5±1.2) mm,and (1.9±1.5) mm in single-bundle group,there were no statistically significant differences between the two groups.
Conclusion:Arthroscopic single-bundle reconstruction and double-bundle anterior cruciate ligament reconstruction have no significant differences in clinical effects. |
| KEY WORDS Anterior cruciate ligament Arthroscopes Reconstruction surgical procedures Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王秀峰,杨光,徐铁峰,刘铁民.前交叉韧带单束重建和双束解剖重建短期临床疗效的病例对照研究[J].中国骨伤,2012,25(11):891~894 |
| 英文格式: | WANG Xiu-feng,YANG Guang,XU Tie-feng,LIU Tie-min.Case-control study on clinical effects of arthroscopic single-versus double-bundle ACLs reconstructions[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(11):891~894 |
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