本文選題：前交叉韌帶　切入點(diǎn)：Endobutton　出處：《延邊大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：針對(duì)關(guān)節(jié)鏡下的兩種不同固定方式的早期療效進(jìn)行探討和比較,分別使用橫穿釘和Endobutton與對(duì)重建前交叉韌帶股骨端進(jìn)行固定。方法：2012年12月至2014年12月按病例納入標(biāo)準(zhǔn)選出重建前交叉韌帶患者60例,按固定方式分組：Endobutton組和橫穿釘組,對(duì)兩組重建前交叉韌帶患者股骨端分別進(jìn)行固定,隨訪：常規(guī)檢查膝關(guān)節(jié)活動(dòng)度、前抽屜試驗(yàn)及Lachman試驗(yàn)等,療效評(píng)定：按HSS膝關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)及Lysholm膝關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)評(píng)定膝關(guān)節(jié)功能。結(jié)果：在手術(shù)時(shí)間方面,兩組間進(jìn)行t檢驗(yàn),P0.05,差異具有統(tǒng)計(jì)學(xué)意義；術(shù)后并發(fā)癥：Endobutton組發(fā)生率為3.12%；橫穿釘組發(fā)生率為17.58%;兩組間術(shù)后并發(fā)癥的發(fā)生率行x2檢驗(yàn),P0.05,差異具有統(tǒng)計(jì)學(xué)意義；Endobutton組：32例患者均獲得隨訪,隨訪時(shí)間6-12個(gè)月,關(guān)節(jié)活動(dòng)均恢復(fù)正常,前抽屜試驗(yàn)Ⅰ度陽性1例、Lachman試驗(yàn)Ⅰ度陽性1例、軸移試驗(yàn)均陰性；無關(guān)節(jié)交鎖癥狀及膝關(guān)節(jié)疼痛癥狀,評(píng)估Lysholm膝關(guān)節(jié)功能,術(shù)后為92.3±4.6,相比于術(shù)前的56.6±5.8有了明顯的提升,差異有顯著性統(tǒng)計(jì)學(xué)意義(P0.05)；橫穿釘組：對(duì)28例患者進(jìn)行6-12個(gè)月的隨訪,所有患者都恢復(fù)了正常的關(guān)節(jié)活動(dòng),除前抽屜試驗(yàn)Ⅰ度陽性5例以外其余患者均是陰性；Lachman試驗(yàn)Ⅰ度陽性5例,陰性23例；軸移試驗(yàn)均陰性；患者膝關(guān)節(jié)疼痛,關(guān)節(jié)交鎖癥狀消失,依據(jù)Lysholm膝關(guān)節(jié)評(píng)分標(biāo)準(zhǔn)評(píng)估膝關(guān)節(jié)功能,術(shù)后為90.1±4.0,相比于術(shù)前的59.1±6.4已經(jīng)有了很大程度的提升,差異有顯著性統(tǒng)計(jì)學(xué)意義(P0.05)；橫穿釘組和Endobutton組兩者間的差異比較(P0.05)不具有統(tǒng)計(jì)學(xué)意義。依據(jù)HSS膝關(guān)節(jié)功能評(píng)分標(biāo)準(zhǔn)：橫穿釘組的優(yōu)良率為93.75%,Endobutton組的優(yōu)良率為92.85%,差異比較(P0.05)不具有統(tǒng)計(jì)學(xué)意義。結(jié)論：使用Endobutton或橫穿釘對(duì)重建前交叉韌帶股骨端進(jìn)行固定臨床效果都較為滿意；Enodbutton在手術(shù)時(shí)間,術(shù)后并發(fā)癥發(fā)生率及抗拉強(qiáng)度方面要優(yōu)于橫穿釘。
[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 鹵4.6 after operation, which was significantly higher than that before operation (56.6 鹵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，

本文編號(hào)：1652016