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双极射频在前交叉韧带重建中的应用
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作者Author单位UnitE-Mail
李慎松 LI Shen-song 解放军兰州军区总医院脊柱外科,甘肃兰州730050 Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China Lzzyjw@sina.com 
文益民 WEN Yi-min 解放军兰州军区总医院脊柱外科,甘肃兰州730050 Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China  
蓝旭 LAN Xu 解放军兰州军区总医院脊柱外科,甘肃兰州730050 Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China  
梁军 LIANG Jun 解放军兰州军区总医院脊柱外科,甘肃兰州730050 Department of Spine Surgery,the General Hospital of Lanzhou Military Command,Lanzhou 730050,Gansu,China  
期刊信息:《中国骨伤》2007年20卷,第11期,第760-761页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨关节镜下双极射频在前交叉韧带重建术中的应用。

方法:在关节镜下应用双极射频对16例前交叉韧带重建术中的移植物进行皱缩,男12例,女4例;年龄18~46岁,平均31岁。单纯前交叉韧带损伤5例,合并半月板损伤10例,合并后交叉韧带损伤1例。术中和术后对所有病例观察随访,记录临床检查结果和Lysholm评分。

结果:术中可见应用双极射频处理后的韧带逐渐收缩变短,韧带张力明显提高,麻醉状态下抽屉试验和Lachman试验均呈阴性。术后随访6~13个月,平均9.5个月,膝关节主观和客观稳定性均明显改善,Lysholm评分从术前(51.7±3.9)分提高到(86.2±3.5)分(P<0.01)。

结论:关节镜下应用双极射频在前交叉韧带重建术中对移植物进行皱缩,可使重建韧带收缩变紧,提高关节的稳定性。
[关键词]:前交叉韧带  关节镜  双极射频
 
Application of bipolar radiofrequency energy in the reconstruction of anterior cruciate ligament
Abstract:

Objective:To explore the application of bipolar radiofrequency energy in the reconstruction of anterior cruciate ligament under arthroscope.

Methods:The grafts of sixteen patients with the reconstruction of anterior cruciate ligament accepted the shrinkage therapy of bipolar radiofrequency energy during arthroscopy involving 12 males and 4 females with an average age of 31 years ranging from 18 to 46.Five patients were simple anterior cruciate ligament injury,10 were complicating meniscus injury and 1 was complicating posterior cruciate ligament injury.All the patients were observed and followed up during and after operation.The Lysholm score and clinical examination were recorded.

Results:The ligament become shrinkage and shorten gradually after treated by bipolar radiofrequency energy during operation.The drawer and Lachman test showed negative results in the condition of anesthesia.The follow-up time was 6-13 months,averaged 9.5 months.The subjective and objective stability of knee joint improved significantly.Lysholm scores raised from(51.7±3.9) preoperatively to(86.2±3.5) points(P<0.01).

Conclusion:The reconstruction ligament could be shrunk and tightened and the knee stability improved when the bipolar radiofrequency energy was applicated during the reconstruction of anterior cruciate ligament under arthroscope.
 
引用本文,请按以下格式著录参考文献:
中文格式:李慎松,文益民,蓝旭,梁军.双极射频在前交叉韧带重建中的应用[J].中国骨伤,2007,20(11):760~761
英文格式:LI Shen-song,WEN Yi-min,LAN Xu,LIANG Jun.Application of bipolar radiofrequency energy in the reconstruction of anterior cruciate ligament[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(11):760~761
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