本文關(guān)鍵詞： 關(guān)節(jié)鏡 前交叉韌帶 自體乆繩肌腱 同種異體肌腱 重建　出處：《中國矯形外科雜志》2017年06期 　論文類型：期刊論文

【摘要】：[目的]探討關(guān)節(jié)鏡下自體和同種異體肌腱重建前交叉韌帶的療效。[方法]將本院2013年1月~2014年12月收治的86例陳舊性前交叉韌帶損傷重建患者隨機分為2組,每組43例。自體肌腱組行自體乆繩肌腱重建,異體肌腱組行同種異體肌腱重建。術(shù)后,對兩組患者重建后免疫排斥反應(yīng)、膝關(guān)節(jié)功能(Lysholm、Tegner、IKDC)、脛骨前移程度(KT 2 000、Lachman)、關(guān)節(jié)運動肌力進(jìn)行評價。[結(jié)果]異體肌腱組重建后免疫排斥反應(yīng)[疼痛1周(32.6%)、關(guān)節(jié)積液穿刺抽液(55.8%)、白細(xì)胞計數(shù)10×10~9L~(-1)(53.5%)]大于自體肌腱組(27.9%、51.2%、46.5%),但差異無統(tǒng)計學(xué)意義(P0.05)。術(shù)后兩組Lysholm、Tegner、IKDC評分顯著升高(P0.05),但兩組間差異無統(tǒng)計學(xué)意義(P0.05)。術(shù)后兩組KT 2 000評分顯著降低(P0.05),但兩組間差異無統(tǒng)計學(xué)意義(P0.05);術(shù)后兩組Lachman評價差異無統(tǒng)計學(xué)意義(P0.05)。異體肌腱組術(shù)后膝關(guān)節(jié)肌肉峰力矩(屈膝、伸膝、內(nèi)旋、外旋)無顯著變化(P0.05);自體肌腱組術(shù)后膝關(guān)節(jié)肌肉峰力矩(屈膝、內(nèi)旋)顯著降低(P0.05),且低于異體肌腱組(P0.05)。[結(jié)論]關(guān)節(jié)鏡下自體和同種異體肌腱重建前交叉韌帶的臨床療效相當(dāng),可依據(jù)患者情況合理選擇。
[Abstract]:[Objective] to evaluate the effect of arthroscopic reconstruction of anterior cruciate ligament (ACL) with autologous and allogeneic tendons. [Methods: from January 2013 to December 2014, 86 patients with old anterior cruciate ligament injury and reconstruction were randomly divided into two groups, 43 cases in each group. The autologous tendon group was treated with autologous tendon reconstruction. The allogeneic tendon was reconstructed in the allogeneic tendon group. After operation, the knee joint function was Lysholm and Tegnerian IKDC. The degree of tibial anterior movement was evaluated by KT 2000 Lachmania. [Results] Immunorejection after reconstruction in allogeneic tendon group. [The pain was 32. 6% in 1 week, 55.8% in articular effusion, the white blood cell count was 10 脳 10 ~ (9) L ~ (-1) (53.5%)] and 27. 9% in autologous tendon group. There was no significant difference between the two groups (P 0.05). The Lysholm Tegnerian IKDC score in the two groups was significantly higher than that in the control group (P 0.05). However, there was no significant difference between the two groups (P 0.05). The KT 2000 score of the two groups decreased significantly after operation, but there was no significant difference between the two groups (P 0.05). There was no significant difference in Lachman evaluation between the two groups after operation (P 0.05). There was no significant change in the peak moment of knee joint muscle (flexion, extension, internal rotation, external rotation) in the allogeneic tendon group after operation (P 0.05). The peak torque (flexion, internal rotation) of knee joint in the autogenous tendon group was significantly lower than that in the allogeneic tendon group. [Conclusion: arthroscopic reconstruction of anterior cruciate ligament with autologous and allogeneic tendons is quite effective and can be reasonably selected according to the patient's condition.
【作者單位】： 川北醫(yī)學(xué)院附屬醫(yī)院骨科;
【分類號】：R687.2
【正文快照】： 前交叉韌帶(anterior cruciate ligament,ACL)是膝關(guān)節(jié)的關(guān)鍵結(jié)構(gòu),起著穩(wěn)定膝關(guān)節(jié)的功能,ACL受損后很難自行恢復(fù),如不及時治療,可造成患者膝關(guān)節(jié)發(fā)生繼發(fā)性的損傷或關(guān)節(jié)退變,進(jìn)而嚴(yán)重影響膝關(guān)節(jié)功能[1]。當(dāng)前臨床治療ACL損傷以重建治療為主,其中移植物的選擇非常關(guān)鍵,是ACL重

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