[1]林任 林伟 邱俊钦.关节镜下经胫骨前外侧骨道重建后交叉韧带的临床研究[J].中国中医骨伤科杂志,2018,26(09):50-53.
　LIN Ren LIN Wei QIU Junqin.Clinical Study for Arthroscopic Reconstruction of PosteriorCruciate Ligament through Anterolateral Tibial Tunnel[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(09):50-53.
点击复制

关节镜下经胫骨前外侧骨道重建后交叉韧带的临床研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年09期
页码:
50-53
栏目:
临床论著
出版日期:
2018-09-06

文章信息/Info

Title:
Clinical Study for Arthroscopic Reconstruction of Posterior Cruciate Ligament through Anterolateral Tibial Tunnel
文章编号:
1005-0205(2018)09-0050-04
作者:
林任1 林伟1 邱俊钦1
1福建厦门大学附属福州第二医院(福州,350007)
Author(s):
LIN Ren1 LIN Wei1 QIU Junqin1
1Department of Orthopaedics, Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou 350007,China.
关键词:
关节镜;  后交叉韧带重建;  胫骨前外侧骨道;  杀伤角
Keywords:
Keywords: arthroscopy;  posterior cruciate ligament reconstruction;  anterolateral tibial tunnel;  killer tum
分类号:
R686.5
文献标志码:
A
摘要:
目的:评价关节镜下经胫骨前外侧骨道重建后交叉韧带的临床疗效。方法:收集2012年1月至2015年12月在本科确诊为后交叉韧带断裂并在关节镜下经胫骨前外侧骨道行后交叉韧带重建的患者共30 例; 年龄21～45岁(平均29岁),男24例、女6例; 合并半月板损伤10例,后外侧复合体损伤4例。通过关节镜探查并将取下的自体半腱及股薄肌腱用于重建后交叉韧带,采用韧带标准评价表(IKDC)和Lysholm膝关节功能评分表评估患膝功能。结果:所有随访患者术后无感染发生,术后屈膝活动度为全部超过120°.患肢功能均恢复良好,优良率达100%.结论:关节镜下经胫骨前外侧骨道重建后交叉韧带,能满意地恢复膝关节功能,可作为后交叉韧带重建的选择方法之一。
Abstract:
Abstract Objective:To evaluate the clinical effect of arthroscopic reconstruction of PCL through anterolateral tibial tunnel. Methods: From 2012 to 2015, 30 patients with PCL injury were treated with arthroscopic reconstruction of PCL through anterolateral tibial tunnel. There were 24 males and 6 females, aged from 21 to 45 years old(average 29 years old). Among them, 10 patients accompanied with meniscus injury, 4 patients accompanied with posterolateral complex injury. The autologous hamstring tendon was used to reconstruct the posterior cruciate ligament arthroscopically, and the IKDC and Lysholm knee score scale were used for functional evaluation.Results: No infection occurred after operation, and the knee flexion was over 120 degrees postoperatively. The limb function recovery was satisfied, and the excellent and good rate was 100%.Conclusion: Arthroscopic reconstruction of PCL through anterolateral tibial tunnel can satisfactorily restore the function of the knee joint, and it is one of the options for posterior cruciate ligament reconstruction.

参考文献/References:

[1] Noh JH,Yoon KH,Kyung HS,et al.Multiple looping technique for tibial fixation in posteriorcruciate ligament reconstruction using free tendon achilles allograft[J].Knee Surg Sports Traumatol Arthrosc,2017,25(8):2640-2645.
[2] Gwinner C,Weiler A,Roider M,e t al.Tibial slope strongly influences knee stability after posterior cruciate ligament reconstruction:a prospective 5-to 15-year follow-up[J].Am J Sports Med,2017,45(2):355-361.
[3] 谢光柏.膝关节功能的测试及评价[J].中国康复医学杂志,1998,13(4):189.
[4] 陈益果,丁晶,杨军,等.关节镜下自体与同种异体肌腱重建前交叉韧带的临床对比分析[J].中国骨与关节损伤杂志,2010,25(9):791-793.
[5] Fanelli GC,Fanelli MG,Fanelli DG,et al.Revision posterior cruciate ligament surgery[J].Sports Med Arthrosc,2017,25(1):30-35.
[6] Fanelli GC,Fanelli DG.Management of chronic combined PCL medial posteromedial instability of the knee[J].Sports Med Arthrosc,2015,23(2):96-103.
[7] Qi YS,Wang HJ,Wang SJ,et al.A systematic review of double-bundle versus single-bundle posterior cruciate ligament reconstruction[J].BMC Musculoskelet Disord,2016,17(1):45.
[8] Huang W,Gong X,Rahul M,et al.Anterior arthroscopic-assisted fixation of posterior cruciatelingament avulsion fractures[J].Eur J Med Res,2015,20(1):88.
[9] Ahn JH,Bae JH,Lee YS,,et al.An anatomical and biomechanical compansion anterolateral approaches for tibial tunnel of posterior cruciate ligament reconstruction:evaluation of the widening effect of the anterolateral approach[J].Am J Sports Med,2009,37(9):1777-1783.
[10] Levy BA,Fanelli GC,Miller MD,et al.Advances in posterior cruciate ligament reconstruction[J].Instr Course Lect,2015,64(1):543-554.
[11] Shin YS,Kim HJ,Lee DH,et al.No clinically important difference in knee scores or instability between transtibial and inlay techniques for PCL reconstruction:a systematic review[J].Clin Orthop Relat Res,2017,475(4):1239-1248.
[12] Salim R,Salzler MJ,Bergin MA,et al.Fluoroscopic determination of the tibial insertion of the posterior cruciate ligament in the sagittal plane[J].Am J Sports Med,2015,43(5):1142-1146.
[13] Weimann A,Wolferrt A,Zantop T,et al.Reducing the“killer tum” in posterior cruciate ligament reconstruction by fixation level and smoothing the tibial aperture[J].Anthrocopy,2007,23(10):1104-1111.
[14] Narvy SJ,Hatch GF,Ihn HE,et al.Evaluating the femoral-side critical corner in posterior cruciate ligament reconstruction:the effect of outside-in versus inside-out creation of femoral tunnels on graft contact pressure in a synthetic knee model[J].Arthroscopy,2017,33(7):1370-1374.
[15] Elazab A,Lee YS,Kang SG,et al.Suspensory anterior tibial fixation in anatomic transtibial posterior cruciate ligament reconstruction[J].Arthrosc Tech,2016,5(1):e71-77.
[16] Cugat R,Alentorn-Geli E,Cuscó X,et al.Articulated bone block for posterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft:surgical technique to facilitate graft passage[J].Arthrosc Tech,2018,7(2):e131-e137.

更新日期/Last Update: 2018-09-06