| 胡喜春,黄长明,范华强,董辉详,付仰攀,卢海燕.关节镜下前交叉韧带重建中保留残端对膝关节功能及本体感觉恢复的影响研究[J].,2017,17(26):5062-5065 |
| 关节镜下前交叉韧带重建中保留残端对膝关节功能及本体感觉恢复的影响研究 |
| Effect of Remnant Preservation on Knee Joint Function and Proprioception Recovery in Anterior Cruciate Ligament Reconstruction under Arthroscope |
| 投稿时间：2017-05-31 修订日期：2017-06-23 |
| DOI：10.13241/j.cnki.pmb.2017.26.013 |
| 中文关键词: 前交叉韧带 保留残端 膝关节功能 本体感觉 关节镜 |
| 英文关键词: Anterior cruciate ligament Remnants preservation Knee joint function Proprioception Arthroscopy |
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| 中文摘要: |
| 摘要 目的：探讨关节镜下前交叉韧带（ACL）重建术中保留韧带残端对ACL损伤患者膝关节功能及本体感觉恢复的影响。方法：回顾性分析2010年1月~2016年3月解放军第174医院收治的ACL损伤患者266例，所有患者均行关节镜下ACL重建，其中保留韧带残端的163例为保留残端组，术中完全清理韧带残端的103例为非保留残端组，所有患者术后随访12个月以上，评价两组患者的膝关节功能及本体感觉恢复情况。结果：术前、术后9个月、术后12个月两组膝关节患侧Lysholm评分、国际膝关节文献委员会膝关节评估表（IKDC）评分、被动活动察觉阀值、被动角度再生试验结果比较差异无统计学意义（P＞0.05）；两组术后各检测时间点的Lysholm评分、IKDC评分较术前均显著提高，被动活动察觉阀值、被动角度再生试验结果较术前明显降低（P＜0.05）；保留残端组术后3个月、6个月的Lysholm评分、IKDC评分高于非保留残端组，被动活动察觉阀值、被动角度再生试验结果低于非保留残端组，差异有统计学意义（P＜0.05）。结论：关节镜下ACL重建中保留残端可加快膝关节功能及本体感觉恢复速度，获得满意的临床疗效，值得推广应用。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effects of ligamen remnant preservation on knee joint function and proprioception recovery in patients with anterior cruciate ligament (ACL) injuries during ACL reconstruction under arthroscope. Methods: The clinical data of 266 patients with ACL injuries, who were treated in the 174th hospital of PLA from January 2010 to March 2016, were retrospectively analyzed. All the patients underwent ACL reconstruction under arthroscopy, among them, 163 patients with remnant preservation were chosen as remnant preservation group; 103 patients with completely clearing remnant preservation in the operation , as non remnant preservation group.All the patients were followed up for more than 12 months, and the knee function and proprioception recovery of the two groups were evaluated. Results: There were no significant differences in the knee ipsilateral Lysholm score,international knee documentation committee knee assessment scale (IKDC) score,passive activity detection threshold, passive angle regeneration test results between the two groups before operation, 9 and 12 months after operation (P>0.05). The Lysholm scores and IKDC scores of the two groups at each time point were significantly higher than those before operation, the passive activity detection threshold and passive angle regeneration test results were significantly lower than those before operation (P<0.05). The Lysholm scores and IKDC scores in the remnant preservation group 3 and 6 months after operation were higher than those in the non remnant preservation group, the passive activity detection threshold and the passive angle regenerated test results were lower than the non remnant preservation group, the difference was statistically significant (P<0.05). Conclusion: Remnant preservation in the ACL reconstruction under arthroscopy can accelerate the recovery of knee joint function and proprioception, and satisfactory clinical results are achieved, which is worth popularizing. |
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