可吸收锚钉修复前交叉韧带部分损伤的早期疗效观察

发布时间：2018-12-10 22:44

【摘要】：目的探讨关节镜下可吸收锚钉修复前交叉韧带部分损伤的早期疗效。方法 2013年12月—2015年2月,收治22例前交叉韧带部分损伤患者。其中男12例,女10例;年龄20~44岁,平均27.5岁。左膝8例、右膝14例;受伤至入院时间2~13 d,平均9.8 d。合并半月板损伤16例。关节镜下采用可吸收锚钉修复损伤的前交叉韧带。采用Tegner评分、Lysholm评分及国际膝关节文献委员会(IKDC)评分评价患者膝关节功能,同时采用疼痛视觉模拟评分(VAS)评估患者主观满意度;采用KT-1000测量仪评估膝关节松弛度,并行MRI检查评价韧带恢复情况。结果术后患者切口均Ⅰ期愈合,无手术相关并发症。患者均获随访12个月。随访期间患者均未出现前交叉韧带二次损伤。术后12个月Tegner评分、Lysholm评分、IKDC评分与受伤前比较,差异均无统计学意义(P0.05);患者主观满意度VAS评分为9~10分,中位数为9.5分;双侧胫骨前移差值为0~6 mm,中位数为0.5 mm。MRI结果提示22例患者连续性、纤维化信号强度分级均为1级。结论关节镜下可吸收锚钉修复前交叉韧带部分损伤可行,术后膝关节功能基本恢复正常,患者满意度高,早期疗效较好。
[Abstract]:Objective to investigate the early effect of arthroscopic absorbable anchor nail in the repair of partial anterior cruciate ligament (ACL) injury. Methods from December 2013 to February 2015, 22 patients with partial anterior cruciate ligament injury were treated. There were 12 males and 10 females, aged 20 to 44 years (mean 27.5 years). There were 8 cases of left knee and 14 cases of right knee, and the time from injury to admission to hospital was 2 and 13 days, with an average of 9.8 days. There were 16 cases with meniscus injury. Arthroscopic repair of the injured anterior cruciate ligament (ACL) with absorbable anchors was performed. The patients' knee function was evaluated by Tegner score, Lysholm score and (IKDC) score of the International knee Joint Literature Committee, and subjective satisfaction was evaluated by visual analogue pain score (VAS). Knee joint relaxation was evaluated by KT-1000 and ligament recovery was evaluated by MRI. Results all the incisions healed in the first stage, and there were no operative complications. All patients were followed up for 12 months. There was no secondary anterior cruciate ligament injury during follow-up. There was no significant difference in Tegner score, Lysholm score, IKDC score between 12 months after operation and before injury (P0.05), the VAS score of patients' subjective satisfaction was 910 to 10, the median was 9.5; The bilateral tibial forward shift difference of 0 ~ 6 mm, was 0. 5 mm.MRI. The results showed that 22 patients had continuity and the signal intensity of fibrosis was grade 1. Conclusion Absorbable anchors under arthroscopy can be used to repair the partial injury of anterior cruciate ligament (ACL). The function of knee is normal after arthroscopy, the patient satisfaction is high, and the early curative effect is better.
【作者单位】：北京大学深圳医院运动医学与康复科;
【基金】：深圳市卫生和计划生育委员会临床研究项目(SZLY2017004)~~
【分类号】：R687.4

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