[1]赵进征,吴旭东,黄小刚,等.同种异体肌腱移植治疗膝关节后外侧角损伤[J].中医正骨,2016,28(09):40-42.
点击复制

同种异体肌腱移植治疗膝关节后外侧角损伤()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年09期
页码:
40-42
栏目:
临床报道
出版日期:
2016-09-20

文章信息/Info

作者:
赵进征吴旭东黄小刚明文义曾斌
浙江省舟山市中医院,浙江 舟山 316000
关键词:
膝关节 膝损伤 后外侧角损伤 韧带重建术 移植同种 肌腱
摘要:
目的:观察同种异体肌腱移植治疗膝关节后外侧角损伤的临床疗效和安全性。 方法:2010年1月至2015年3月,采用同种异体肌腱移植治疗膝关节后外侧角损伤患者7例,男6例、女1例。年龄24~65岁,中位数45岁。左膝4例,右膝3例。合并伤包括半月板损伤5例,后交叉韧带损伤3例,前、后交叉韧带损伤2例。病程1~29 d,中位数15 d。术后随访观察并发症发生、膝关节活动度及功能改善情况。结果:所有患者均获随访,随访时间12~24个月,中位数19个月。均无感染、排斥反应等并发症发生。膝关节活动度由术前50°±15°增加至术后1年110°±10°; Lysholm膝关节评分由术前(39.0±2.5)分升至术后1年(85.3±3.1)分。结论:采用同种异体肌腱移植治疗膝关节后外侧角损伤,能够改善膝关节活动度,促进膝关节功能恢复,并发症少,值得临床推广应用。

参考文献/References:

[1] Sanchez AR 2nd,Sugalski MT,LaPrade RF.Anatomy and biomechanics of the lateral side of the knee[J].Sports Med Arthrosc,2006,14(1):2-11. [2] 林瑞新,刘敏,杨国敬,等.“Y”型LARS韧带一期重建膝后交叉韧带及后外侧角[J].中医正骨,2010,22(3):53-55. [3] 王奇超,王海蛟,王玉记,等.关节镜辅助下应用自体半腱肌腱微创重建膝交叉韧带和加强后外侧角韧带[J].中国微创外科杂志,2010,10(7):639-641. [4] Bahk MS,Cosgarea AJ.Physical examination and imaging of the lateral collateral ligament and posterolateral corner of the knee[J].Sports Med Arthrosc,2006,14(1):12-19. [5] Laprade RF,Gilbert TJ,Bollom TS,et al.The magnetic resonance imaging appearance of individual structures of the posterolateral knee.A prospective study of normal knees and knees with surgically verified grade Ⅲ injuries[J].Am J Sports Med,2000,28(2):191-199. [6] Lysholm J,Gillquist J.Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J].Am J Sports Med,1982,10(3):150-154. [7] 张东亮,刘军.膝关节后外侧复合体损伤治疗的进展[J].中华医学杂志,2012,92(33):2372-2374. [8] 肖宇,王兆杰,安荣泽.膝关节后外侧复合体重建术的研究进展[J].吉林医学,2014,35(10):2198-2199. [9] Harner CD,Vogrin TM,Höher J,et al.Biomechanical analysis of a posterior cruciate ligament Reconstruction. Deficiency of the posterolateral structures as a cause of graft failure[J].Am J Sports Med,2000,28(1):32-39. [10] Li G,Gill TJ,Defrate LE,et al.Biomechanical Consequences of PCL deficiency in the knee under simulated muscle loads—an in vitro experimental study[J].J Orthop Res,2002,20(4):887-892. [11] 钟环,陈继铭,康毅,等.陈旧性FanelliⅢ型膝后外侧角损伤重建[J].生物骨科材料与临床研究,2012,9(4):26-29. [12] Sekiya JK,West RV,Ong BC,et al.Clinical outcomes after isolated arthroscopic single-bundle posterior cruciate ligament Reconstruction[J].Arthroscopy,2005,21(9):1042-1050. [13] Yoon KH,Bae DK,Song SJ,et al.Arthroscopic double-bundle augmentation of posterior cruciate ligament using split Achilles allograft[J].Arthroscopy,2005,21(12):1436-1442. [14] Makino A,Aponte Tinao L,Ayerza MA,et al.Anatomic double-bundle posterior cruciate ligament Reconstruction using double-double tunnel with tibial anterior and posterior fresh-frozen allograft[J].Arthroscopy,2006,22(6):684. [15] 陈鸿,鲁宁,张颖.膝关节后交叉韧带合并后外侧角结构损伤的联合重建[J].中华创伤骨科杂志,2008,10(3):229-233. [16] An W,Qiu S,Zhu T,et al.Comparative study on the treatment of acromioclavicular joint dislocation:coracoclavicular ligament Reconstruction using lateral half of conjoined tendon or tractusiliotibialis with hook plate fixation[J].Zhonghua Yi Xue Za Zhi,2015,95(5):363-367.

相似文献/References:

[1]邓伟哲,王宏晶,王宇恒,等.微创针刀镜治疗难治性膝关节类风湿关节炎[J].中医正骨,2015,27(11):42.
[2]赵新杰,孙实,武爱玲.中医药治疗膝关节滑膜炎的研究进展[J].中医正骨,2015,27(08):65.
[3]郑昱新,詹红生,莫文,等.滑膜炎颗粒治疗膝关节滑膜炎湿热阻络证的随机、 双盲、安慰剂对照、多中心临床研究[J].中医正骨,2015,27(12):29.
 ZHENG Yuxin,ZHAN Hongsheng,MO Wen,et al.A randomized,double-blind,placebo-controlled,multicenter,clinical trial of Huamoyan Keli(滑膜炎颗粒)for treatment of gonarthromeningitis with DAMPNESS-HEAT BLOCK COLLATERALS syndrome[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(09):29.
[4]李楠,李锋.胫骨平台骨折的手术治疗进展[J].中医正骨,2015,27(12):78.
[5]陈利军,田野,刘文刚,等.非典型膝关节外伤后胫骨近端隐匿性骨折的影像诊断[J].中医正骨,2015,27(06):26.
[6]汤金城,谭旭仪,成传德.前外侧切口可吸收螺钉内固定治疗Hoffa骨折[J].中医正骨,2015,27(03):44.
[7]张阿雷.关节囊外复位内固定治疗胫骨平台骨折[J].中医正骨,2016,28(01):54.
[8]路怀民,谭佳汶,刘蓓,等.运动疗法联合中医综合疗法治疗早期创伤性半月板损伤[J].中医正骨,2016,28(03):68.
[9]杨小广,杨乔辉,刘长风,等.胫骨平台骨折切开复位内固定术后膝关节功能恢复的影响因素分析[J].中医正骨,2016,28(10):11.
 YANG Xiaoguang,YANG Qiaohui,LIU Changfeng,et al.Analysis of factors influencing knee function recovery after open reduction and internal fixation for treatment of tibial plateau fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(09):11.
[10]杨勇,尹吉恒,冶尕西.电针治疗膝关节镜下前交叉韧带重建术后患膝肿痛[J].中医正骨,2016,28(10):50.

备注/Memo

备注/Memo:
2016-04-07收稿 2016-07-13修回

更新日期/Last Update: 1900-01-01