| 残端悬吊包绕肌腱移植物重建前交叉韧带 |
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Received:February 06, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 曲峰 |
QU Feng |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of Chinese PLA, Beijing 100853, China |
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| 齐玮 |
QI Wei |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of Chinese PLA, Beijing 100853, China |
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| 王俊良 |
WANG Jun-liang |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of Chinese PLA, Beijing 100853, China |
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| 李淑媛 |
LI Shu-yuan |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of Chinese PLA, Beijing 100853, China |
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| 刘畅 |
LIU Chang |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of Chinese PLA, Beijing 100853, China |
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| 刘玉杰 |
LIU Yu-jie |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, General Hospital of Chinese PLA, Beijing 100853, China |
lyj301yy@yahoo.com.cn |
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| 期刊信息：《中国骨伤》2013年26卷，第5期，第388-390页 |
| DOI：10.3969/j.issn.1003-0034.2013.05.008 |
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目的: 探讨残端悬吊包绕肌腱移植物重建前交叉韧带的价值。
方法: 2009年6月至2011年6月对76例前交叉韧带损伤的患者采用残端悬吊包绕肌腱移植物重建前交叉韧带治疗。男59例, 女17例;年龄15～46岁, 平均29岁。其中运动伤32例, 训练伤20例, 交通事故伤16例, 其他损伤8例。受伤至手术时间平均3周(2～5周).术前前抽屉试验阳性72例, Lachman试验阳性76例, IKDC主观评分45.9±3.6,Lysholm 评分54.3±4.5。
结果: 术后患者切口均Ⅰ期愈合, 无相关并发症发生。69例获得随访, 时间17～31个月, 平均23个月。末次随访Lachman试验均呈阴性;IKDC评级A级36例, B级30例, C级3例, D级0例;IKDC主观评分91.5±3.4,较术前提高;Lysholm评分92.4±3.8,较术前提高。
结论: 采用残端悬吊包绕肌腱移植物重建前交叉韧带有助于移植肌腱的修复, 临床疗效满意。 |
| [关键词]:前交叉韧带 移植物 膝关节 修复外科手术 关节镜 |
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| Anterior cruciate ligament reconstruction with tendon graft enveloped by preserved remnants |
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Abstract:
Objective: To explore the curative effect of anterior cruciate ligament(ACL) reconstruction with tendon graft enveloped by preserved remnants.
Methods: From June 2009 to June 2011,76 patients with ACL injury were treated,and the ACL was reconstructed with tendon graft enveloped by preserved remnants. There were 59 males and 17 females,aged 15 to 46 years with an average of 29 years. The causes of injuries included sports in 32 cases,training in 20 cases,traffic accidents in 16 cases,and other reasons in 8 cases. The average disease duration was 3 weeks (2 to 5 weeks). The results of Lachman test was positive in 72 cases and anterior drawer test were positive in 76 cases. The preoperative IKDC score was 45.9±3.6. The preoperative Lysholm knee score was 54.3±4.5.
Results: All incisions got an one stage healing,and no early complications occurred. Sixty-nine cases were followed up,and the duration ranged from 17 to 31 months (mean,23 months). The result of Lachman test was negative at the latest follow-up. At the latest follow-up,the degree of IKDC was A in 36 cases,B in 30 cases,C in 3 cases,no one in degree D. The postoperative IKDC score was 91.5±3.4,showing significant difference compared with preoperative score. The postoperative Lysholm score was 92.4±3.8,showing a significant difference compared with preoperative score.
Conclusion: The clinical effect of anterior cruciate ligament(ACL) reconstruction with tendon graft enveloped by preserved remnants is satisfactory. |
| KEYWORDS:Anterior cruciate ligament Transplants Knee joint Reconstructive surgical procedures 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: | 曲峰,齐玮,王俊良,李淑媛,刘畅,刘玉杰.残端悬吊包绕肌腱移植物重建前交叉韧带[J].中国骨伤,2013,26(5):388~390 |
| 英文格式: | QU Feng,QI Wei,WANG Jun-liang,LI Shu-yuan,LIU Chang,LIU Yu-jie.Anterior cruciate ligament reconstruction with tendon graft enveloped by preserved remnants[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(5):388~390 |
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