| 丁勇1 王育才1 吕科2 孙嗣国1 廖博1 李钊1 单乐群1
胡运生1 陈艳1 孙宏慧1.关节镜下多种移植物联合重建膝关节前、后交叉韧带[J].,2011,11(13):2458-2460 |
| 关节镜下多种移植物联合重建膝关节前、后交叉韧带 |
| Reconstruction of Anterior and Posterior Cruciate Ligaments ThroughUniting a Variety of Grafts Under Arthroscopy |
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| DOI： |
| 中文关键词: 膝关节韧带损伤 前交叉韧带 后交叉韧带 关节镜 |
| 英文关键词: Knee joint ligaments injuries Anterior cruciate ligament(ACL) Posterior cruciate ligament (PCL) Arthroscopy |
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| 中文摘要: |
| 目的：评估关节镜下膝关节前交叉韧带(ACL ) 与后交叉韧带( PCL) 同时重建的技术和临床效果。方法：自2003 年6 月～
2009 年10 月, 27 例病人(28 膝) 经MRI 检查及关节镜检查证实ACL 和PCL 均断裂, 其中9 膝伴内侧副韧带损伤(MCL) , 8 膝伴
后外侧角损伤( PLC) , 5 膝伴内侧半月板破裂,4 膝伴外侧半月板损伤。27 例患者于伤后3～10 周在关节镜下行膝关节前、后交叉
韧带联合重建。结果：本组术后早期均未发生严重并发症。术后随访12～88 个月, 平均(42.67±3.34) 个月, Lysholm 膝关节功能评
分为78～93 分,平均(86.67±5.21)分。国际膝关节文件编制委员会( IKDC) 综合评定由术前显著异常(D 级)28 膝, 改进为随访时正
常(A 级) 9 膝、接近正常(B 级) 16 膝、异常(C 级) 3 膝。结论：关节镜下膝关节前交叉韧带(ACL ) 与后交叉韧带( PCL) 同时重建创
伤小、手术操作精细, 术后膝关节功能恢复满意。 |
| 英文摘要: |
| Objective: To investigate the clinical results and techniques of simultaneous arthroscopically assisted reconstruction of
anterior cruciate ligament and posterior cruciate ligament. Methods: A total of twenty-eight knees of 27 patients were diagnosed ACL and
PCL abruption by MRI and arthrosopical examination, of whom 9 cases had medical collateral ligament injuries,8 case had angulus
posteriolateralis, 5 cases had meniscus ruptures,4 cases had lateral meniscus injuries. All patients were treated by arthroscopical
reconstruction within 3 to 10 weeks. Results: At the early stage, no complication occurred. ALL patients were followed up for 12-88
months, and the average time was 42.67±3.34. Lysholm score was between 78 and 93 after operation. The preoperation IKDC evalution
were D in all knees which improved to A(9 knees), B(16 knees) and C(3 knees) postoperationly. Conclusions: The operation of ACL and
PCL simultaneous reconstruction by arthroscopical technique had the advantages of less injury, subtle operation and excellent
postoperation function of knees. |
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