[1]朱涛,肖斌△,白登彦,等.膝关节生理性后外侧旋转松弛对膝前交叉韧带重建术后效果的影响[J].中国中医骨伤科杂志,2018,26(11):17-20.
　ZHU Tao,XIAO Bin,BAI Dengyan,et al.Effect of Physiological Posterolateral Rotational Relaxation of Knee Joint on Postoperative Reconstruction of Anterior Cruciate Ligament[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(11):17-20.
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膝关节生理性后外侧旋转松弛对膝前交叉韧带重建术后效果的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年11期
页码:
17-20
栏目:
临床研究
出版日期:
2018-10-30

文章信息/Info

Title:
Effect of Physiological Posterolateral Rotational Relaxation of Knee Joint on Postoperative Reconstruction of Anterior Cruciate Ligament
文章编号:
1005-0205(2018)11-0017-04
作者:
朱涛1; 2; 肖斌1; 2△; 白登彦1; 2; 袁治国1; 2
1西北民族大学(兰州,730000) 2西北民族大学第二临床医学院骨科
Author(s):
ZHU Tao1; 2; XIAO Bin1; 2△; BAI Dengyan1; 2; YUAN Zhiguo1; 2
1Northwest Minzu University, Lanzhou 730000, China; 2Second Clinical Medical College, Northwest Minzu University, Lanzhou 730000, China.
关键词:
膝关节;  膝前交叉韧带;  重建术
Keywords:
knee joint;  anterior cruciate ligament;  reconstruction
分类号:
R684
文献标志码:
A
摘要:
目的:研究膝关节生理性后外侧旋转松弛对膝关节前交叉韧带重建术后临床效果的影响。方法:对113例在2010年至2016年行膝关节前交叉韧带重建术的患者根据膝关节屈曲90°位时胫骨外旋的角度分成3组。组1为<40°,组2为40°～50°,组3为≥50°.韧带稳定性的评估分别由Lanchman试验、轴移试验以及KT-2000 arthrometer试验评价。膝关节功能由Lysholm评分量表及国际膝关节功能委员会(IKDC)评分量表评分。临床效果由患者术前评分与术后24个月后评分结果比较评价。结果:膝关节术后关节错动在不同的组间差异有统计学意义(P<0.001)。用Post hoc检测证实,与组1、组2比较组3中膝关节前移度增加。膝关节外旋角度达到90°时,明显会影响膝关节向前轴移(r=0.428,P=0.007)。然而,它却对Lysholm评分及IKDC评分有相反的影响,分别为(r=-0.146,P=0.015)和(r=-0.205,P=0.003)。结论:膝关节屈曲90°时胫骨外旋度对膝关节前叉重建术后关节稳定性及功能评分具有负面影响。在前叉重建术后的患者中,胫骨外旋角度≥50°的患者相比胫骨外旋角度<50°的患者具有较差的功能结果及较大的关节前移度。
Abstract:
Objective:The purpose of this study was to investigate the effect of physiological posterolateral rotation relaxation on the clinical outcome of anterior cruciate ligament(ACL)reconstruction.Methods:We retrospectively studied 113 patients who underwent anterior cruciate ligament reconstruction from 2010 to 2016.Patients were categorized into three groups according to the degree of tibial external rotation at 90° of knee flexion:Group 1(<40°), Group 2(40°～50°), and Group 3(≥50°).Ligament stability was determined with use of the Lachman test, the pivot-shift test, and KT-2000 arthrometer testing.The knee joint function was assessed by Lysholm score and the International Knee Documentation Committee(IKDC)scoring scale.The clinical effect was evaluated by the data obtained before surgery and at the 24-month follow-up visit.Results:In this study, there were significant differences in joint dislocation between different groups after knee joint operation(P<0.001).Post hoc test confirmed that the knee joint forward motion increased in group 3, when compared with group 1 and group 2.The degree of external rotation at 90° was positively correlated with anterior knee translation(r=0.428, P=0.007).However, there was an inverse correlation with the Lysholm knee scores(r=-0.146, P=0.015)and IKDC score(r=-0.205, P=0.003).Conclusion:The stability and functional scores after ACL reconstruction had a negative correlation with the degree of external rotation of the tibia at 90°.After ACL reconstruction, patients with ≥50° of tibial external rotation had increased anterior translation and worse functional outcomes in comparison with those who had <50° of tibial external rotation.

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备注/Memo

备注/Memo:
基金项目:西北民族大学中央高校科研项目(31920170185)
△通信作者 E-mail:alex666517@163.com
更新日期/Last Update: 2018-10-10