关节镜下自体腘绳肌腱重建治疗新鲜与陈旧性前交叉韧带断裂的效果比较

doi:10.3969/j.issn.1007-3205.2021.01.009

河北医科大学学报 ›› 2021, Vol. 42 ›› Issue (1): 38-41.doi: 10.3969/j.issn.1007-3205.2021.01.009

关节镜下自体腘绳肌腱重建治疗新鲜与陈旧性前交叉韧带断裂的效果比较

1.江西中医药大学研究生学院，江西南昌 330004；2.江西省中西医结合医院骨一科，江西南昌 330006

出版日期:2021-01-25 发布日期:2021-02-05
作者简介:王强（1990-），男，江西九江人，江西中医药大学医学硕士研究生，从事骨关节疾病诊治研究。

Comparison of arthroscopic reconstruction using autologous hamstring tendon in the treatment of fresh and old anterior cruciate ligament rupture

1.Graduate School of Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, China;
2.the First Department of Orthopedics, Jiangxi Hospital of Integrated Traditional Chinese and
Western Medicine, Nanchang 330006, China

Online:2021-01-25 Published:2021-02-05

摘要/Abstract

摘要： 方法采用回顾性病例对照研究法，选取自体腘绳肌腱重建治疗前交叉韧带断裂术的患者53例为研究对象，按照伤后到重建的时间分为新鲜组（伤后10周内）和陈旧组（伤后超过10周），其中新鲜组28例，陈旧组25例。比较两组术后末次随访的lachman试验阳性率、轴移试验的阳性率、国际膝关节文献委员会膝关节评估表(International Knee Documentation Committee Knee Uation Form,IKDC)评分和Lysholm评分以及术后继发性并发症发生率。
结果两组术后lachman试验及轴移试验阳性率、Lysholm评分及IKDC评分比较差异无统计学意义（P＞0.05），陈旧组术后并发症发生率高于新鲜组（P＜0.05）。
结论新鲜性前交叉韧带重建与陈旧性前交叉韧带重建临床疗效相当，但新鲜性前交叉韧带断裂重建术后并发症的发生率较陈旧性前交叉韧带断裂重建低。

关键词: 关节镜检查, 前交叉韧带重建, 手术时机

Abstract: Objective To explore the optimal timing forarthroscopic reconstruction of anterior cruciate ligament rupture(ACLR).
Methods In this retrospective case-control study,53 patients with ACLR treated by reconstruction using autogenous hamstring tendon were entered into this study. They were divided into fresh group(28 cases that were injured within 10 weeks) and old group(25 cases that were injured for more than 10 weeks) according to the time interval from injury to reconstruction. At the last follow-up after operation, the positive rate of Lachman test and pivot shift test, the International Knee Documentation Committee Knee Uation Form(IKDC)score, Lysholm score and incidence of postoperative secondary complications were compared.
Results There was no significant difference in the positive rate of Lachman test and pivot shift test, Lysholm score and IKDC score between two groups(P＞0.05). The incidence of postoperative complications in the old group was higher than that in the fresh group(P＜0.05).
Conclusion Reconstruction of fresh ACLR has similar clinical effect with reconstruction of old ACLR, but the incidence of complications after reconstruction of fresh ACLR is lower than that of old ACLR.

Key words: arthroscopy, anterior cruciate ligament reconstruction, duration of operation

王强, 谢水华, 王星宇. 关节镜下自体腘绳肌腱重建治疗新鲜与陈旧性前交叉韧带断裂的效果比较[J]. 河北医科大学学报, 2021, 42(1): 38-41.

WANG Qiang, XIE Shui-hua, WANG Xing-yu. Comparison of arthroscopic reconstruction using autologous hamstring tendon in the treatment of fresh and old anterior cruciate ligament rupture[J]. Journal of Hebei Medical University, 2021, 42(1): 38-41.

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关节镜下自体腘绳肌腱重建治疗新鲜与陈旧性前交叉韧带断裂的效果比较

Comparison of arthroscopic reconstruction using autologous hamstring tendon in the treatment of fresh and old anterior cruciate ligament rupture

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