资源描述：
《关节镜下应用同种异体髌腱联合重建前后交叉韧带的临床随访研究.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、关节镜下应用同种异体膑腱联合重建前后交叉韧带的临床随访研究作者：谢峰，杨柳，郭林，代灿，韩雪松，欧阳云飞单位：第三军医大学西南医院关节外科中心，重庆400038提要:目的探讨关节镜下利用同种异体濮腱(骨■腱■骨组织,BPTB)联合重建前、后交叉韧带的近期临床效果。方法收集2003年5月至2005年11月间10例前、后交叉韧带联合损伤的患者，在关节镜下利用挤压界面螺钉固定，同种异体離腱联合重建前交叉韧带和后交叉韧带。所有患者术后随访12~30个月(平均18个月)。按照国际膝关节评分委员会(internationalkneedo
2、cumentalcommittee,IKDC)xLysholm和Tegnar膝关i'j评分标准评价疗效。结果术后无伸膝受限，最后随访时屈膝活动度为120°〜135°(平均128.38°)oLyshom膝关节功能评分术前为48〜78(66.5±5.6)分，终末随访时为85〜96(89.8±3.4)分,于-术前后有显著性差异(P<O.01)oTegnar运动能力评价表在初次受伤前为4〜9(6.9±l.7)分;伤后术前为0~3(2.2±0.6)分
3、;随访结束时为2~9(5.5±l.6)分。受伤前和随访结束时评分无显著性差异。终末随访IKDC评分:A4例(40.0%),B5例(50.0%),C1例(10.0%)o10例患者中，8例恢复伤前运动水平,2例运动水平较伤前减低。结论关节镜下同种异体離腱联合重建前交叉韧带和后交叉韧带手术操作精细、创伤小，术后膝关节功能恢复满意.关键词:关节镜;前交叉韧带;后交叉韧带;移植中图法分类号:R615;R686.5文献标识码:AAfollow-upstudyofarthroscopicallyassistedcombine
4、dreconstmctionofanteriorandposteriorcruciateligamentswithallogeneicpatellartendonXIEFeng,YANGLiu,GUOLin,DAICan,HANXue-song,OUYANGYun-fei,WANGiaoyu,DAIWeiCenterfbrJointSurgery,SouthwestHospitahThirdMilitaryMedicaIUniversity,Chongqing400038,China)Abstract:ObjectiveTo
5、evaluatethetherapeuticeffectonreconstructionofanteriorcruciate1igament(ACL)andposteriorcruciateligament(PCL)simultaneouslybyusingallogeneicpatellartendonunderarthros-copy.MethodsFromMay2003toNovember2005,10casesofrupturedACLandPCLwerefixatedwithcompressedscrewsandr
6、econstmctedunderarthroscopywithallogeneicpatellartendoninonestage.Theclini-calresultswereevaluatedaccordingtoIKDC,Lysholm,andTegnerclinicalratingscales.ResultsAllpa-tientswerefollowedupfori2-30months(average18months).Attheendoffollow-up,therewasnokneeextensionlimit
7、ationandthekneeflexionwasbetween120and135,withanaverageof128.38.TheLysholmscoreofthe10caseswas(66.5±5・6)beforeoperation,and(89.8±3.4)attheendoffollow-up・Statisti-callythedifferencebetweenthetwoLysholmscoreswassigniticant(P<0.01).TheaverageTegneract
8、ivityscoredecreasedinpatientsfrom(6・9±l.7)(rangefrom4to9)beforeinjuryto(5.5±!.6)(rangefrom2to9)atfollow-up.Atterminationoffollow-up
