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关节镜下自体腘绳肌肌腱移植重建膝前交叉韧带的临床观察
引用本文:谭志超,蔡立民,邓怀东,廖国强,肖署阳.关节镜下自体腘绳肌肌腱移植重建膝前交叉韧带的临床观察[J].岭南现代临床外科,2011,11(2):131-133,145.
作者姓名:谭志超  蔡立民  邓怀东  廖国强  肖署阳
作者单位:东莞市中医院骨一科,广东东莞,523005
摘    要:目的探讨关节镜下自体腘绳肌肌腱移植重建膝前交叉韧带的临床疗效。方法自2006年12月-2010年1月,对215例膝关节前交叉韧带损伤患者采用关节镜下自体腘绳肌肌腱移植重建(包括单束和双束)。比较患者术前、术后Lysholm膝关节评分和膝关节稳定性改变。结果本组215例中210例获得随访,1例患者在术后6周出现膝关节内感染,予行关节镜下清理、抗感染等处理后治愈。术前和术后1个月、术后6个月、术后1年Lysholm膝关节评分分别比较差异均有统计学意义(P〈0.05)。术前215例患者物理检查均表现为膝关节不稳,术后所有患膝不稳定表现消失。结论关节镜下自体腘绳肌肌腱移植重建膝前交叉韧带疗效可靠,依据病人实际情况个性化合理选择单双束重建。

关 键 词:前交叉韧带  腘绳肌肌腱  关节镜  单双束重建  个性化

Clinical observation of arthroscopic anterior cruciate ligament reconstruction with autogenous hamstring tendon graft
Tan zhichao,Cai limin,Deng huaidong,Liao guogiang,Xiao shuyang.Clinical observation of arthroscopic anterior cruciate ligament reconstruction with autogenous hamstring tendon graft[J].Lingnan Modern Clinics in Surgery,2011,11(2):131-133,145.
Authors:Tan zhichao  Cai limin  Deng huaidong  Liao guogiang  Xiao shuyang
Affiliation:Tan zhichao,Cai limin,Deng huaidong,Liao guoqiang,Xiao shuyang.Department of Orthopedics,Dongguan Municipal Hospital of Traditional Chinese Medicine,Dongguan(523OO5),China
Abstract:Objective Exploring the clinical effect of arthroscopic anterior cruciate ligament reconstruction with autogenous hamstring tendon.Methods During December 2006 to January 2010,215 cases of anterior cruciate ligament injury were treated with arthroscopic hamstring tendon autograft anterior cruciate ligament reconstruction(including single-bundle and double-bundle).Compared the variation of knee's lysholm score and stability between preoperative and postoperative.Results 210 patients were followed-up in all o...
Keywords:Anterior cruciate ligament  Hamstring tendon  Arthroscopy  Single-bundle and double-bundle reconstruction  Personalized  
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