摘要
目的探讨双束解剖重建术对膝关节前交叉韧带(ACL)损伤患者膝关节稳定性的影响。方法回顾性选取2014年2月至2016年2月吉林大学第二医院收治的118例膝关节ACL损伤患者。采用关节镜辅助下双束解剖重建术治疗,随访36个月,分别在3、12、36个月时记录患者KT-1000检测值;Lysholm膝关节评分、国际膝关节评分委员会(IKDC)膝关节功能评分;股骨骨道扩大、胫骨骨道扩大情况;膝关节轴移试验情况。结果术后3、12、36个月KT-1000值均低于术前,差异均有统计学意义(P<0.05),随着时间延长,术后KT-1000值上升。术后3、12、36个月膝关节Lysholm评分、膝关节IKDC评分均高于术前,差异均有统计学意义(P<0.05),随着时间延长,术后膝关节Lysholm评分、膝关节IKDC评分升高。术后3、12、36个月股骨骨道扩大、胫骨骨道扩大发生率均高于术前,差异均有统计学意义(P<0.05);随着时间延长,术后股骨骨道扩大、胫骨骨道扩大发生率升高。术后36个月股骨骨道扩大发生率高于胫骨骨道扩大,差异有统计学意义(P<0.05)。术后3、12、36个月膝关节轴移试验阳性明显优于术前,差异均有统计学意义(P<0.05);随着时间延长,术后膝关节轴移试验阳性情况好转。结论双束解剖重建术治疗ACL临床疗效较好,患者膝关节稳定性功能较佳,随着随访时间的延长逐步恢复。
Objective To investigate the effect of double-bundle anatomical reconstruction on knee joint stability in patients with knee anterior cruciate ligament(ACL)injury.Methods From February 2014 to February 2016,118 patients with knee ACL injury admitted to the Second Hospital of Jilin University were retrospectively selected.The patients were treated with arthroscopy-assisted double-beam anatomical reconstruction,followed up for 36 months.The KT-1000 values,Lysholm knee score,the international knee documentation committee(IKDC)knee function score,femoral bone enlargement,tibia enlargement,knee joint axial displacement test were recorded at 3 months,12 months,and 36 months,respectively.Results The KT-1000 values at 3,12,and 36 months after surgery were all lower than those before surgery,and the differences were statistically significant(P<0.05).As time went on,the KT-1000 value increased after surgery.The Lysholm score and IKDC score of the knee joint at 3,12,and 36 months after surgery were higher than those before the operation,and the differences were statistically significant(P<0.05).As time went on,the Lysholm score and the knee joint IKDC score after the operation increased.The incidences of enlarged femoral tract and tibial tract at 3,12,and 36 months after surgery were higher than those before surgery,and the differences were statistically significant(P<0.05).As time went on,the incidences of enlarged femoral tract and tibial tract increased;the incidence of femoral osseous tract enlargement was higher than that of tibia tract enlargement at 36 months after operation,and the difference was statistically significant(P<0.05).The positive condition of the knee joint axis shift test at 3,12,and 36 months after operation were significantly better than those before the operation,and the differences were statistically significant(P<0.05);As time went on,the positive condition of the knee joint axis shift test improved after the operation.Conclusion Double-bundle anatomical reconstruction is effective in the treatment of ACL with good knee joint stability,gradually recover with the extension of follow-up time.
作者
王亚雄
刘晓宁
张伟
WANG Ya-xiong;LIU Xiao-ning;ZHANG Wei(Jilin University,Changchun Jilin 130000,China;Department of Orthopedics,Second Hospital of Jilin University,Changchun Jilin 130000,China)
出处
《临床和实验医学杂志》
2021年第11期1206-1209,共4页
Journal of Clinical and Experimental Medicine
基金
吉林省教育厅“十三五”科学技术项目(编号:JJKH20190057KJ)。
关键词
膝关节
前交叉韧带
双束解剖重建术
Knee joint
Anterior cruciate ligament
Double-bundle anatomical reconstruction
