关节镜下Endobutton与横穿钉固定重建前交叉韧带股骨端的疗效分析

发布时间：2018-03-23 05:09

  本文选题：前交叉韧带　切入点：Endobutton　出处：《延边大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：针对关节镜下的两种不同固定方式的早期疗效进行探讨和比较,分别使用横穿钉和Endobutton与对重建前交叉韧带股骨端进行固定。方法：2012年12月至2014年12月按病例纳入标准选出重建前交叉韧带患者60例,按固定方式分组：Endobutton组和横穿钉组,对两组重建前交叉韧带患者股骨端分别进行固定,随访：常规检查膝关节活动度、前抽屉试验及Lachman试验等,疗效评定：按HSS膝关节功能评分标准及Lysholm膝关节功能评分标准评定膝关节功能。结果：在手术时间方面,两组间进行t检验,P0.05,差异具有统计学意义；术后并发症：Endobutton组发生率为3.12%；横穿钉组发生率为17.58%;两组间术后并发症的发生率行x2检验,P0.05,差异具有统计学意义；Endobutton组：32例患者均获得随访,随访时间6-12个月,关节活动均恢复正常,前抽屉试验Ⅰ度阳性1例、Lachman试验Ⅰ度阳性1例、轴移试验均阴性；无关节交锁症状及膝关节疼痛症状,评估Lysholm膝关节功能,术后为92.3±4.6,相比于术前的56.6±5.8有了明显的提升,差异有显著性统计学意义(P0.05)；横穿钉组：对28例患者进行6-12个月的随访,所有患者都恢复了正常的关节活动,除前抽屉试验Ⅰ度阳性5例以外其余患者均是阴性；Lachman试验Ⅰ度阳性5例,阴性23例；轴移试验均阴性；患者膝关节疼痛,关节交锁症状消失,依据Lysholm膝关节评分标准评估膝关节功能,术后为90.1±4.0,相比于术前的59.1±6.4已经有了很大程度的提升,差异有显著性统计学意义(P0.05)；横穿钉组和Endobutton组两者间的差异比较(P0.05)不具有统计学意义。依据HSS膝关节功能评分标准：横穿钉组的优良率为93.75%,Endobutton组的优良率为92.85%,差异比较(P0.05)不具有统计学意义。结论：使用Endobutton或横穿钉对重建前交叉韧带股骨端进行固定临床效果都较为满意；Enodbutton在手术时间,术后并发症发生率及抗拉强度方面要优于横穿钉。
[Abstract]:Objective: to investigate and compare the early effects of two different fixation methods under arthroscopy. Methods: from December 2012 to December 2014, 60 patients with reconstructed anterior cruciate ligament (ACL) were selected according to the inclusion criteria. Two groups of patients with anterior cruciate ligament reconstruction were fixed, followed up: routine examination of knee motion, anterior drawer test and Lachman test, etc. Evaluation of curative effect: the knee joint function was evaluated according to HSS knee function score and Lysholm knee function score. Results: in terms of operation time, the two groups were evaluated by t test (P0.05), the difference was statistically significant. The incidence of postoperative complications was 3.12 in the + Endobutton group and 17.58 in the traverse nail group. The incidence of postoperative complications in the two groups was examined by x2 test (P0.05). The difference was statistically significant in 32 patients in the Endobutton group. The follow-up period was 6-12 months, and the joint activity returned to normal. The anterior drawer test was positive in 1 case and the axial shift test was negative in 1 case. The knee joint function of Lysholm was evaluated without joint interlocking symptoms and knee joint pain, which was 92.3 卤4.6 after operation, which was significantly higher than that before operation (56.6 卤5.8). There was significant difference (P 0.05): 28 patients were followed up for 6-12 months, all of them returned to normal joint activity. With the exception of 5 cases of positive degree 鈪，

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