[1]吴锦秋 谭明远△ 程振东 常旭东.43例膝关节多韧带损伤自体肌腱修复功能重建的近期疗效观察[J].中国中医骨伤科杂志,2019,27(01):53-56.
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43例膝关节多韧带损伤自体肌腱修复功能重建的近期疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年01期
页码:
53-56
栏目:
临床报道
出版日期:
2019-01-15

文章信息/Info

文章编号:
1005-0205(2019)01-0053-04
作者:
吴锦秋1 谭明远2△ 程振东2 常旭东3
1甘肃省中医院(兰州,730050) 2甘肃中医药大学 3兰州大学
关键词:
膝关节 多韧带损伤 关节镜 自体肌腱 修复重建
分类号:
R686.5
文献标志码:
B
摘要:
探讨关节镜下自体肌腱一期重建膝关节多韧带损伤的方法及疗效。方法:2014年12月至2016年7月收治膝关节多韧带损伤患者43例(43膝):男27例,女16例; 年龄16~58岁,平均41岁; 其中ACL和PCL损伤合并MCLⅢ度损伤14例,ACL和PCL损伤11例,ACL和MCL损伤7例,PCL和MCL损伤5例,PCL和LCL损伤4例,ACL,PCL,MCL及LCL损伤2例; 均采用关节镜辅助下自体肌腱重建前后交叉韧带及外侧副韧带,有限切开原位修补内侧副韧带。手术前后行Lysholm评分、国际膝关节文献委员会(IKDC)评分及膝关节活动度检测,以评估手术方法及疗效。结果:本组43例术后患者均获随访,随访时间24~25个月,平均24.2个月。随访期间无一例切口感染、内固定物松动、移植物失效及断裂等并发症。术后2年Lysholm膝关节功能评分由术前(16.39±7.62)分提高至(89.12±6.26)分,国际膝关节文献委员会(IKDC)评分由术前(19.79±9.65)分提高至(90.13±5.54)分,关节活动范围由术前32.4°±26.4°提高至122.4°±10.3°,与术前比较差异有统计学意义(P<0.001)。结论:关节镜下自体肌腱一期重建前后交叉韧带及外侧副韧带、有限切开原位修补内侧副韧带,能很好地恢复膝关节屈伸、滑动及旋转功能,具有创伤小、视野清晰、住院时间短、费用低等优点,且临床疗效显著。

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备注/Memo

备注/Memo:
1甘肃省中医院(兰州,730050) 2甘肃中医药大学 3兰州大学 通信作者 E-mail:1625760122@qq.com
更新日期/Last Update: 2019-01-15