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双侧自体腘绳肌腱一期重建前后交叉韧带损伤的临床疗效
引用本文:刘柱同,孙小平,刘佩莲,刘运晃,陈建华,李献成,王延斌.双侧自体腘绳肌腱一期重建前后交叉韧带损伤的临床疗效[J].现代生物医学进展,2011,11(22):4317-4321.
作者姓名:刘柱同  孙小平  刘佩莲  刘运晃  陈建华  李献成  王延斌
作者单位:武警广东总队医院外二科 广东广州510507
摘    要:目的:探讨关节镜辅助下使用双侧自体腘绳肌腱一期修复膝关节前后交叉韧带损伤的方法和临床疗效。方法:内窥镜微创双侧自体腘绳肌腱修复膝关节内韧带,术后用IKDC分级、影像学IKDC分级、Lysholm功能评分和KT2000TM测量进行关节机能打分。结果:11例患者获得3-5年随访,平均随访3.8年。术前Lysholm功能评分平均(46.8±5.7)分,终末随访时平均(81.3±10.5)分,差异有显著性(P<0.05)。术后关节稳定性测量,在20磅时、30磅和最大拉力时健膝和患膝分别是:6.1±0.3和6.8±0.8;6.3±0.5和7.7±1.3;7.5±0.6和9.6±2.4,统计学上差异无显著性(P>0.05)。主观IKDC分级:A级4例,B级6例,C级1例;影像学IKDC分级:A级8例,B级2例,C级1例。结论:关节镜辅助下使用双侧自体腘绳肌腱一期修复膝关节前后交叉韧带损伤是重建膝关节稳定性的良好有效方法。

关 键 词:关节镜  交叉韧带损伤  腘绳肌腱

One Stage Reconstruction of Anterior and Posterior Cmciated Ligaments with Bilateral Hamstrings Autograft
LIU Zhu-tong,SUN Xiao-ping,LIU Pei-lian,LIU Yun-huang,CHEN Jian-hua,LI Xian-cheng,WANG Yah-bin.One Stage Reconstruction of Anterior and Posterior Cmciated Ligaments with Bilateral Hamstrings Autograft[J].Progress in Modern Biomedicine,2011,11(22):4317-4321.
Authors:LIU Zhu-tong  SUN Xiao-ping  LIU Pei-lian  LIU Yun-huang  CHEN Jian-hua  LI Xian-cheng  WANG Yah-bin
Institution:LIU Zhu-tong,SUN Xiao-ping,LIU Pei-lian,LIU Yun-huang,CHEN Jian-hua,LI Xian-cheng,WANG Yan-bin(The Armed Police Corps Hospital of Guangdong and Guangdong,two division,Guangzhou,510507 China)
Abstract:Objective: To investigate the methods and clinical effects of one stage reconstruction of anterior and posterior cruciate ligaments with bilateral hamstrings autograft.Methods: One stage reconstruction of the anterior and posterior cruciate ligament,the ante-rior cruciate ligaments were reconstructed by bilateral hamstring autograft.The clinical effects were evaluated by IKDC score,radio-graphic IKDC grading system,Lysholm scores and the KT2000.Results: 11 patients were followed up and the average follow-up...
Keywords:Arthroscopy  Cruciate ligament injury  Bilateral hamstrings  
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