| 肌腱结嵌压固定保留胫骨止点的腘绳肌腱重建前交叉韧带 |
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Received:May 26, 2008
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| 期刊信息：《中国骨伤》2008年21卷，第10期，第783-784页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨以自体骨栓肌腱结嵌压固定保留胫骨止点的腘绳肌腱重建膝前交叉韧带的临床效果及应用价值。
方法：采用自体骨栓肌腱结嵌压固定保留胫骨止点的腘绳肌腱重建膝前交叉韧带断裂20例，男15例，女5例；年龄18～32岁，平均22岁；左、右膝各10例。取自体腘绳肌腱，保留肌腱的胫骨止点，两端编织缝合后预张。建立胫骨、股骨隧道，并制作胫骨骨桥结构，股骨隧道为内窄外宽结构。骨栓肌腱结嵌入股骨隧道内，牵引线带着肌腱结远端的腱束经股骨、胫骨隧道穿出，与胫骨止点上的肌腱交叉，在胫骨骨桥上打结并缝合固定。术后患膝以支具固定在屈曲45°位。
结果：20例患者均获得随访，随访时间8～24个月，平均11个月。膝关节功能评估采用Lysholm功能评分标准，术前平均(61.5±4.6)分，终末随访时平均(92.5±3.7)分，差异有统计学意义，P<0.05.
结论：骨栓肌腱结嵌压固定保留胫骨止点的腘绳肌腱重建膝前交叉韧带的方法为生物学固定，避免使用高值耗材，降低了手术费用，且有利于腱-骨愈合。 |
| [关键词]:前交叉韧带 肌腱 膝关节 |
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| Anterior cruciate ligament reconstruction with hamstring tendons preserved tibial insertion and an implant fixation technique of hamstring tendon knot and bone bolt press-fit |
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Abstract:
Objective: To evaluate the feasibility of hamstring autograft anterior cruciate ligament reconstruction with hamstring tendons insertion on tibia preserved and an implant fixation technique of hamstring tendons knot and bone bolt press-fit.
Methods: Twenty cases of injured anterior cruciate ligament were reconstructed. There were 15 males and 5 females with the average age of 22 years old. Ten left knees and 10 right knees were involved. Hamstring tendons were taken,and pretension was performed. Tibial tunnel and femoral tunnel were prepared,and the femoral tunnel was a frame of narrow inside and wide outside. The hamstring tendons knot and bone bolt were pulled inside of femoral tunnel. The tendons distal of tendons knot were brought to pass the femoral tunnel,joint capsule and another tibial tunnel. Then,the tendons distal of tendons knot were tightened together with the part of hamstring tendons of which the insertion were on tibia. After the operation,the knee was fixed at a flexion of 45 degrees by brace.
Results: The patients were followed up for 8 to 24 months. The function of troubled knees was evaluated by Lysholm knee functional scale. The average knee score were 61.5±4.6 and 92.5±3.7 respectively before and after operation,and the difference was statistically significant(P<0.05).
Conclusion: Hamstring tendons insertion on tibia preserved and an implant fixation technique of hamstring tendons knot and bone bolt press-fit was biological fixation for anterior cruciate ligament reconstruction with hamstring. The advantage of this method was avoidance of using high cost material for fixation,which lessened spending for the patients. And it was also benefit for tendon-bone healing. |
| KEYWORDS:Anterior cruciate ligament Tendons Knee joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 宋光虎.肌腱结嵌压固定保留胫骨止点的腘绳肌腱重建前交叉韧带[J].中国骨伤,2008,21(10):783~784 |
| 英文格式: | SONG Guang-hu.Anterior cruciate ligament reconstruction with hamstring tendons preserved tibial insertion and an implant fixation technique of hamstring tendon knot and bone bolt press-fit[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):783~784 |
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