单束与双束异体肌腱重建前交叉韧带

发布时间：2018-04-09 20:34

本文选题：前交叉韧带　切入点：单束重建　出处：《中国矫形外科杂志》2017年12期

【摘要】：[目的]比较同种异体单束八股乆绳肌腱与四股双束乆绳肌腱重建前交叉韧带的临床效果。[方法]2010年~2011年对64例前交叉韧带断裂患者采用同种异体乆绳肌腱行重建术,其中33例采用单束八股移植物技术(单束组),31例采取双束四股移植腱技术(双束组)。应用KT1000关节测量仪、Lachman试验、轴移试验评估关节稳定性,按IKDC膝关节功能评分表、Lysholm评分表评估关节功能。[结果]术后5年单束组有2例(6.06%)失败,双束组有1例(3.23%)失败,两组差异无统计学意义(P=0.524)。单束组KT1000测量值为(1.41±1.21)mm,双束组为(1.40±1.12)mm,差异无统计学意义(P=0.804)。Lachman、轴移试验两组均获得良好的临床效果,两组间差异无统计学意义。两组的IKDC评分分别为分别为(91.12±4.12)分和(91.83±4.64)分,差异无统计学意义(P=0.571)。Lysholm评分分别为(92.03±4.32)分和(91.81±4.91)分,差异无统计学意义(P=0.214)。[结论]经过5年的随访,异体双束四股乆绳分别为肌腱与单束八股乆绳肌腱在术后成功率、稳定性以及关节功能方面表现都很优异,差异无统计学意义。
[Abstract]:[objective] to compare the clinical effect of reconstruction of anterior cruciate ligament (ACL) with single bundle of single bundle of allogeneic tendon and double bundle of four strands of human hamstring.[methods] from 2010 to 2011, 64 patients with rupture of anterior cruciate ligament (ACL) were treated with reconstruction of tendon allograft. Among them, 33 cases were treated with single bundle and eight strands graft technique (single bundle group, 31 cases were treated with double bundle four-strand tendon graft technique (double bundle group).The joint stability was evaluated by KT1000 arthrometer and axial shift test. The joint function was evaluated according to IKDC knee function scale and Lysholm score table.[results] two cases (6.06) failed in the single bundle group and one case (3.23%) in the double bundle group. The difference between the two groups was not statistically significant (P < 0. 524).The KT1000 of single bundle group was 1.41 卤1.21 mm, and that of double bundle group was 1.40 卤1.12 mm. There was no significant difference between the two groups. There was no significant difference between the two groups, and there was no significant difference between the two groups.The IKDC scores of the two groups were 91.12 卤4.12 and 91.83 卤4.64, respectively. There was no significant difference between the two groups (P < 0. 571). The Lysholm scores were 92. 03 卤4. 32 and 91. 81 卤4. 91, respectively. There was no significant difference between the two groups (P 0. 214).[conclusion] after 5 years of follow-up, the success rate, stability and joint function of allogeneic double bundles with four strands of tendons and single bundles of eight-strands were excellent, and there was no significant difference between the two groups in terms of postoperative success rate, stability and joint function.
【作者单位】：山东省滨州市沾化区人民医院脊柱关节外科;河北医科大学第三医院关节外科;
【分类号】：R687.4

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