| 关节镜下前交叉韧带重建和微创重建膝关节内侧结构的临床效果 |
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投稿时间：2016-01-12
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| 期刊信息：《中国骨伤》2016年，第29卷，第5期，第464-467页 |
| DOI：10.3969/j.issn.1003-0034.2016.05.015 |
| 基金项目: |
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| 中文摘要:目的:观察关节镜下前交叉韧带(ACL)重建结合微创重建膝关节内侧结构(PMC)的临床效果。方法:收集2012年3月至2014年2月于骨科就诊的22例ACL和膝关节PMC损伤患者,男8例,女14例,平均年龄29.4岁。采用关节镜下重建ACL,同时经ACL手术切口微创重建PMC.治疗前及治疗后2、6、12个月采用前抽屉试验、Lachman试验、外翻应力试验和Slocum试验对稳定性进行评价,术后12个月采用Lysholm评分和Tegner运动分级评价膝关节功能。治疗前和治疗后12个月膝关节行MR检查。结果:术后2、6个月Lachman试验、前抽屉试验和外翻应力试验均为阴性;术后12个月1例前抽屉试验呈弱阳性,1例外翻应力试验呈弱阳性。术前Lysholm评分32.0±11.2,Tegner评分0.9±0.5;术后12个月的Lysholm评分96.8±6.8,Tegner评分6.1±0.9,均高于术前。术后12个月复查MRI显示移植物显影良好。结论:采用关节镜下ACL重建同时微创重建PMC,可以很好地恢复膝关节稳定性。 |
| 【关键词】前交叉韧带 后内侧结构 关节镜 |
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| Clinical effects of arthroscopic reconstruction of anterior cruciate ligament and minimally invasive reconstruction of posteromedial corner |
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| ABSTRACT Objective: To evaluate the clinical effects of arthroscopic reconstruction of anterior cruciate ligament(ACL)and minimally invasive reconstruction of posteromedial corner(PMC). Methods: There were 22 cases of ACL and PMC tear were performed with reconstruction from March 2012 to February 2014. The patients were 29.4 years old on average,including 8 males and 14 females. ACL reconstruction was performed under arthroscopy and PMC reconstruction was performed minimally invasively through the ACL incision. The stability of knee was assessed by anterior drawer test,Lachman test,vulgus stress test and Slocum test. The function of knee was assessed by Lysholm score and Tegner activity rating. MRI of knee was checked 12 months after operation. Results: The stability tests of all patients were negative at 2 and 6 months after operation,and there was one positive case in anterior drawer test and another positive case in vulgus stress test at 12 months after operation. Lysholm score of all patients 12 months after operation was 96.8±6.8,which was significantly better than 32.0±11.2 before operation. Tegner activity rating of all patients at 12 months postoperatively was 6.1±0.9,which was significantly better than 0.9±0.5 before operation. It showed the grafts were very well in the MRI 12 months postoperatively. Conclusion: Arthroscopic ACL reconstruction and minimally invasive PMC reconstruction can restore the stability of knee. |
| KEY WORDS Anterior cruciate ligament Posteromedial corner Arthroscopes |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 魏民,刘玉杰,刘洋.关节镜下前交叉韧带重建和微创重建膝关节内侧结构的临床效果[J].中国骨伤,2016,29(5):464~467 |
| 英文格式: | WEI Min,LIU Yu-jie,LIU Yang.Clinical effects of arthroscopic reconstruction of anterior cruciate ligament and minimally invasive reconstruction of posteromedial corner[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(5):464~467 |
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