期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

关节镜下4股腘绳肌重建前交叉韧带24例临床分析 被引量：1

在线阅读 下载PDF
导出
摘要 目的探讨关节镜下4股腘绳肌重建前交叉韧带的手术方法及疗效。方法2005年12月至2008年6月,收治经临床及关节镜检查确诊的前交叉韧带损伤患者24例,男17例,女7例,年龄19～46岁,平均31.6岁,左膝14例,右膝10例;急性损伤9例,陈旧损伤15例,均为ACL完全断裂。取自体4股腘绳肌,关节镜下行等长重建,股骨端微型钢板固定,胫骨端可吸收界面螺钉固定。参照Lysholm评分及敖英芳临床判断标准评价疗效。结果24例患者切口均一期愈合,无感染及神经血管损伤发生,随访时间6～36个月,平均18个月。术后关节稳定,采用Lysholm膝关节评分方法评估,术前评分为(52.65±9.12),术后评分为(87.73±8.23),与术前比较差异有统计学意义(P<0.01)。参照敖英芳临床判断标准:本组获优16例,良6例,中2例,差0例,优良率为91.67%。结论关节镜下4股腘绳肌重建前交叉韧带方法可行,疗效确切。术后实施正确合理的功能训练也是保证疗效的重要环节。
作者 刘俊 邓德礼 李杰文
机构地区 广州市番禺区人民医院骨二科
出处 《中国实用医药》 2009年第12期135-136,共2页 China Practical Medicine
关键词 关节镜 腘绳肌 前交叉韧带 临床分析
分类号 R687.2 [医药卫生—骨科学]
  • 相关文献

参考文献5

二级参考文献9

  • 1Freddie H Fu, Christopher D Harner, Kelly G Vince. Knee Surgery [M]. Volume One. America: Williams & Wilkins, 1994. 278.
  • 2Higgins LD, Taylor MK, Park D, et al. Reliability and validity of the International Knee Documentation Committee (IKDC) Subjective Knee Form[J]. Joint Bone Spine,2007,74(6): 594-599.
  • 3John N Insall, W Norman Scott. Surgery of the Knee [M]. 3rd Edition. America: Churchill Livingstone, 2001. 164-173.
  • 4Fules PJ, Madhav RT, Goddard RK,et al. Evaluation of tibial bone tunnel enlargement using MRI scan cross-sectional area measurement after autologous hamstring tendon ACL replacement[J]. Knee, 2003,10:87-91.
  • 5Robert H, Es-Sayeh J, Heymann D,et al. Hamstring insertion site healing after anterior cruciate ligament reconstruction in patients with symptomatic hardware or repeat rupture: a histologic study in 12 patients [J]. Arthroscopy, 2003,19(9): 948-954.
  • 6Augustsson J, Thomee R, Karlsson J. Ability of a new hop test to determine functional deficits after anterior cruciate ligament reconstruction [J]. Knee Surg Sports Traumatol Arthrosc, 2004,12(5):350-356.
  • 7Patemo MV, Ford KR, Myer GD, et al. Limb asymmetries in landing and jumping 2 years following anterior cruciate ligament reconstruction [J]. Clin J Sport Med,2007,17(4):258-262.
  • 8Feller JA, Webster KE, Taylor NF, et al. Effect of physiotherapy attendance on outcome after anterior cruciate ligament reconstruction: a pilot study[J]. Br J Sports Med,2004,38(1):74-77.
  • 9Vadala A, Iorio R, De Carli A, et al. The effect of accelerated, brace free, rehabilitation on bone tunnel enlargement after ACL reconstruction using hamstring tendons: a CT study[J]. Knee Surg Sports Traumatol Arthrosc, 2007,15(4):365-371.

共引文献109

同被引文献28

  • 1刘宁,刘建民,彭庆州,梁振雷,潘玉林,赵明宇.膝关节伸直位X线片测量在前交叉韧带损伤诊断中的价值[J].中国骨与关节损伤杂志,2005,20(4):223-225. 被引量：4
  • 2Fuchs S, Chylarecki C. Sonographic evaluation of ACL rupture signs compared to arthroscopic findings in acutely injured knees. Ultrasound Med Biol, 2002,28 (2) : 149-154.
  • 3Tecklenburg K,Schoepf D,Hoser C,et al. Anterior cruciate ligament injury with simultaneous locked bucket-handle tears of both medial and lateral meniscus in a 19-year-old female professional ski racer:a case report. Knee Surg Sports Traumatol Arthmse ,2007,15(9) : 1125-1129.
  • 4Crawford R,Walley G,Bridgman S, et al. Magnetic resonance imaging versus arthroseopy in the diagnosis of knee pathology, concentrating oi: meniscal lesions and ACL tears: a systematic review. Br Med Bull, 2007,84: 5-23.
  • 5Nishimori M,Deie M,Adachi N, et al. Articular cartilage injury of the pQsterior lateral tibial plateau associated with acute anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc, 2008,16(3) : 270-274.
  • 6Barker JU, Drakos MC, Maak TG, et al. Effect of graft selection on the incidence of postoperative infection in anterior cruciate ligament reconstruction. Am J Sports Med,2010,38(2) : 281-286.
  • 7Schemer SU, Schmidt T, Gang 6 y I, et al. Fresh-frozen free-tendon allografts versus autografts in anterior cruciate ligament reconstruction: delayed remodeling and inferior mechanical func- tion during long-term healing in sheep. Arthroscopy,2008,24(4): 448-458.
  • 8Gorschewsky O, Klakow A, Riechert K, et al. Clinical comparison of the Tutoplast allograft and autologous patellar tendon (bonepatellar tendon-bone)for the reconstruction of the anterior cruciate ligament: 2-and 6-year results. Am J Sports Med, 2005,33 (8) : 1202-1209.
  • 9Nan T,Lavoie P,Duval N,et al. A new generation of artificial ligaments in reconstruction of the anterior eruciate ligament. Two- year follow-up of a randomised trial. J Bone Joint Surg Br, 2002,84 (3) : 356-360.
  • 10Georgoulis AD, Ristanis S, Chouliaras V, et al. Tibial rotation is not restored after ACL reconstruction with a hamstring graft. Clin Orthop Relat Res, 2007,454: 89-94.

引证文献1

二级引证文献4

中国实用医药
2009年 第12期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部