[1]张辉,庄万强,魏庆华,等.关节镜手术治疗前交叉韧带断裂合并半月板损伤[J].中医正骨,2018,30(07):56-57.
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关节镜手术治疗前交叉韧带断裂合并半月板损伤()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年07期
页码:
56-57
栏目:
临床报道
出版日期:
2018-07-20

文章信息/Info

作者:
张辉庄万强魏庆华骆勇刚雷海唐毅
(四川省简阳市人民医院,四川 简阳 641400)
关键词:
膝损伤 关节镜检查 前交叉韧带重建 半月板胫骨
摘要:
目的:观察关节镜手术治疗前交叉韧带(anterior cruciate ligament,ACL)断裂合并半月板损伤的临床疗效及安全性。方法:2015年5月至2016年5月,采用关节镜手术治疗ACL断裂合并半月板损伤患者42例。男25例,女17例。年龄20~45岁,中位数35.5岁。左膝23例,右膝19例。内侧半月板损伤20例,外侧半月板损伤22例。Lachman试验阳性41例,前抽屉试验阳性36例。受伤至手术时间7~15 d,中位数10.5 d。术后随访观察膝关节功能恢复及并发症发生情况。结果:所有患者均获随访,随访时间12~24个月,中位数15.5个月。2例患者术后伸膝肌力较健侧弱,未出现其他临床症状,嘱其加强股四头肌功能锻炼,至末次随访时肌力恢复正常。均未出现血管神经损伤及切口感染等并发症。末次随访时,所有患者Lachman试验、前抽屉试验均为阴性。Lysholm膝关节评分,术前(41.2±9.7)分、末次随访时(88.7±9.1)分。结论:关节镜手术治疗ACL断裂合并半月板损伤,可以促进膝关节功能恢复,且安全性较高,值得临床推广应用。

参考文献/References:


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备注/Memo

备注/Memo:
通讯作者:唐毅 E-mail:2631477410@qq.com
更新日期/Last Update: 2018-11-30