[1]杨振国,苗莉莉,董建文.保留胫骨止点的自体半腱肌和股薄肌肌腱关节镜下单束保残重建治疗前交叉韧带断裂[J].中医正骨,2016,28(08):35-38.
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保留胫骨止点的自体半腱肌和股薄肌肌腱关节镜下单束保残重建治疗前交叉韧带断裂()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年08期
页码:
35-38
栏目:
临床报道
出版日期:
2016-08-20

文章信息/Info

作者:
杨振国1苗莉莉2董建文1
1.山东中医药大学第二附属医院,山东 济南 250014; 2.山东省交通医院,山东 济南 250031
关键词:
前交叉韧带 前交叉韧带重建 关节镜检查 半腱肌 股薄肌 胫骨止点
摘要:
目的:观察保留胫骨止点的自体半腱肌和股薄肌肌腱关节镜下单束保残重建治疗前交叉韧带断裂的临床疗效和安全性。方法:2012年9月至2013年6月,采用保留胫骨止点的自体半腱肌和股薄肌肌腱关节镜下单束保残重建治疗前交叉韧带断裂患者25例,男14例、女11例。年龄18~52岁,中位数34岁。左膝12例,右膝13例。术前前抽屉试验及Lachman试验均阳性。受伤至就诊时间2~22个月,中位数6个月。随访观察患者膝关节功能改善及并发症发生情况。结果:术后3、6、12、18个月国际膝关节文献委员会膝关节评分由术前(60.59±1.82)分依次升至(78.68±1.94)分、(81.75±2.08)分、(83.55±1.88)分、(85.67±1.76)分,Lysholm膝关节评分由术前(61.45±1.67)分依次升至(80.14±2.01)分、(82.21±2.21)分、(87.43±1.91)分、(89.56±1.84)分。术后患者前抽屉试验、Lachman试验均为阴性,膝关节屈伸活动良好,均无感染、内固定松动、重建韧带再断裂等并发症发生。结论:采用保留胫骨止点的自体半腱肌和股薄肌肌腱关节镜下单束保残重建治疗前交叉韧带断裂,操作简便,固定牢靠,有利于膝关节功能的恢复,并发症少,值得临床推广应用。

参考文献/References:

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更新日期/Last Update: 1900-01-01