摘要
目的 比较关节镜下袖套式保残与非保残重建治疗前叉韧带断裂的疗效.方法 回顾性分析自2016-06-2019-03治疗的52例前交叉韧带断裂,其中观察组26例采用关节镜下袖套式保残重建,对照组26例则采用关节镜下非保残重建.比较两组腱骨愈合情况、被动活动察觉阈值、膝关节功能Lysholm评分、KT-2000胫骨前移距离、重返运动情况.结果 所有患者均随访至术后24个月,均无切口感染或功能受限等并发症.末次随访观察组腱骨愈合情况优于对照组,差异有统计学意义(P＜0.05).观察组术后3个月、2年被动活动察觉阈值优于对照组,差异有统计学意义(P＜0.05).两组术后3个月、2年膝关节功能Lysholm评分差异无统计学意义(P＞0.05).观察组术后3个月、2年KT-2000胫骨前移距离优于对照组,差异有统计学意义(P＜0.05).观察组术后2年重返运动情况优于对照组,差异有统计学意义(P＜0.05).结论 关节镜下袖套式保残重建治疗前叉韧带断裂是安全有效的方法,较非保残重建可获得早期良好的本体感觉,有更好的腱-骨愈合及关节稳定性,同时可提高重返运动率.
Abstract
Objective To compare clinical effect of arthroscopy cuff-shape preservation and non-preservation for reconstruc-tion of anterior cruciate ligament rupture.Methods From June 2016 to March 2019,according to inclusion and exclusion cri-teria 52 patients with anterior cruiate ligament rupture were enrolled in this study,randomly grouped into cuff-shape preserva-tion group and non-preservation group,with 26 patients in each group;two groups were compared using the following variables:tendon-bone healing,index of perception under passive movement,Lysholm knee score,forward distance measured by KT-2000,the rate of return to play.Results All the patients were followed up for 24 months.In all cases no complications such as inci-sion infection or functional limitation occurred.At the last follow-up,results showed the grade Ⅰ healing rate in the experimental group was higher than that in the control group,the difference was statistically significant(P＜0.05).At 3 and 24 months the in-dex of perception under passive movement in the experimental group was better than that in the control group,the difference was statistically significant(P＜0.05).At 3 and 24 months,Lysholm knee score showed no statistically significant difference be-tween the two groups(P＞0.05).At 3 and 24 months forward distance by KT-2000 showed statistically significant difference be-tween the two groups,the experimental group was better(P＜0.05).At the last follow-up return to play rate in the experimental group better than control group,the difference was statistically significant(P＜0.05).Conclusion Cuff-shape preservation re-construction under arthroscope is a safe and effective method for the treatment of anterior cruciate ligament rupture,which can obtain early better proprioception than the non-preservation reconstruction,better tendon-bone healing,improve joint stability and return to play rate.
基金项目
西北地区特殊环境下军事训练伤预防策略与规范化分级分类诊治的研究(20XLS05)
维普
万方数据