大直径自体胭绳肌腱重建前交叉韧带的近期临床疗效观察
Short Term Clinical Efficacy of Large Diameter Autologous Hamstring Tendon Reconstruction of Anterior Cruciate Ligament
徐洲发 1张双晓 1肖智青1
作者信息
- 1. 河源市中医院(广东河源,517000)
- 折叠
摘要
目的:探讨大直径自体胭绳肌腱重建前交叉韧带的有效性及安全性.方法:回顾性分析2022年6月至2023年6月诊治的34例采用大直径自体胭绳肌腱重建前交叉韧带的患者,男30例,女4例;平均年龄为(24.32±6.41)岁.记录术中半腱肌、股薄肌长度及移植物的直径,术前、术后1年膝关节的IKDC评分和Lysholm评分,Lachman试验及轴移试验情况.结果:半腱肌的平均有效长度为(26.04±1.33)cm,股薄肌腱的平均有效长度为(21.78±2.47)cm,6股移植物直径平均为(8.85±0.28)mm,8股移植物直径平均为(9.75±0.26)mm;所有患者术后12个月IKDC评分和Lysholm评分与术前相比,差异均有统计学意义(P＜0.05);6股和8股移植术后12个月IKDC评分和Lysholm评分对比差异无统计学意义(P＞0.05).结论:采用大直径自体胭绳肌腱重建前交叉韧带能充分利用自体胭绳肌腱,确保移植物直径,胫骨侧采用门型钉及界面螺钉双固定的方式能确保固定牢固,近期疗效确切.
Abstract
Objective:To explore the effectiveness and safety of large diameter autologous hamstring tendon reconstruction of anterior cruciate ligament.Methods:Retrospective analysis of 34 patients diagnosed and treated from June 2022 to June 2023,who underwent large diameter autologous hamstring tendon reconstruction of anterior cruciate ligament.There were 30 males and 4 females with an average age of(24.32±6.41)years old.Record the length of the semitendinosus and gra-cilis muscles during surgery,as well as the diameter of the graft,IKDC score,Lysholm score,Lachman test,and axial dis-placement test of knee joint before surgery and 1 year after surgery.Results:The average effective length of the semitendi-nosus muscle is(26.04±1.33)cm.The average effective length of the gastrocnemius tendon is(21.78±2.47)cm.The av-erage diameter of the 6-strand graft is(8.85±0.28)mm,and the average diameter of the 8-strand graft is(9.75±0.26)mm.The IKDC score and Lysholm score of all patients at 12 months after surgery showed significant statistical differences compared to preoperative levels(P＜0.05).There was no significant difference in the IKDC score and Lysholm score be-tween 6 and 8 shares at 12 months after surgery(P＞0.05).Conclusion:Using large-diameter autologous hamstring ten-dons to reconstruct the anterior cruciate ligament can fully utilize the autologous hamstring tendons and ensure the diame-ter of the graft.The tibial side is fixed firmly with a double fixation method of door nail and interface screw,which has a definite therapeutic effect.
关键词
大直径/自体胭绳肌腱/前交叉韧带重建Key words
large diameter/autologous hamstring tendon/anterior cruciate ligament reconstruction引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据