关节镜下多种移植物联合重建膝关节前、后交叉韧带

目的：评估关节镜下膝关节前交叉韧带（ACL）与后交叉韧带（PCL）同时重建的技术和临床效果。方法：自2003年6月～2009年10月，27例病人（28膝）经MRJ检查及关节镜检查证实ACL和PCL均断裂，其中9膝伴内侧副韧带损伤（MCL），8膝伴后外侧角损伤（PLC），5膝伴内侧半月板破裂，4膝伴外侧半月板损伤。27例患者于伤后3～10周在关节镜下行膝关节前、后交叉韧带联合重建。结果：本组术后早期均未发生严重并发症。术后随访12-88个月，平均（42．67±3．34）个月，Lysholm膝关节功能评分为78-93分，平均（86．67±5．21）分。国际膝关节文件编制委员会（mDC）综合评定由术前显著异常（D级）28膝，改进为随访时正常（A级）9膝、接近正常（B级）16膝、异常（C级）3膝。结论：关节镜下膝关节前交叉韧带（ACL）与后交叉韧带（PCL）同时重建创伤小、手术操作精细，术后膝关节功能恢复满意。

Reconstruction of Anterior and Posterior Cruciate Ligaments Through Uniting a Variety of Grafts Under Arthroscopy

Objective： To investigate the clinical results and techniques of simultaneous arthroseopically assisted reconstruction of anterior cruciate ligament and posterior cruciate ligament. Methods： A total of twenty-eight knees of 27 patients were diagnosed ACL and PCL abruption by MRI and arthrosopical examination, of whom 9 cases had medical collateral ligament injuries,8 case had angulus posteriolateralis, 5 cases had meniscus ruptures,4 cases had lateral meniscus injuries. All patients were treated by arthroscopical reconstruction within 3 to 10 weeks. Results： At the early stage, no complication occurred. ALL patients were followed up for 12-88 months, and the average time was 42.67±3.34. Lysholm score was between 78 and 93 after operation. The preoperation 1KDC evalution were D in all knees which improved to A（9 knees）, B（16 knees） and C（3 knees） postoperationly. Conclusions： The operation of ACL and PCL simultaneous reconstruction by arthroscopical technique had the advantages of less injury, subtle operation and excellent postoperation function of knees.