| 朱 源,李 岩,范红卫.膝关节镜下保留残端单束重建治疗前交叉韧带损伤疗效分析[J].中国烧伤创疡杂志,2022,(4):267~271. |
| DOI： |
| 中文关键词: 前交叉韧带损伤 残端重建 膝关节镜 膝关节功能 本体感觉 |
| 英文关键词:Anterior cruciate ligament injury Remnant reconstruction Knee arthroscopy Knee function Proprioception |
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| 中文摘要: |
| 【摘要】 目的 探讨膝关节镜下保留残端自体腘绳肌腱单束重建在前交叉韧带损伤中的应用效果。方法 选取 2018 年 12 月至 2020 年 12 月商丘市第一人民医院收治的 110 例前交叉韧带损伤患者作为研究对象，按照随机数表法将其随机分为观察组(55例) 和对照组 (55例)。 观察组患者采用膝关节镜下保留残端自体腘绳肌腱单束重建治疗，对照组患者采用膝关节镜下非保留残端自体腘绳肌腱单束重建治疗，对比观察两组患者手术时间、术后引流量、住院时间以及膝关节功能和本体感觉恢复情况。结果 观察组患者手术时间、术后引流量和住院时间与对照组无明显差异 (t = 1.648、1.700、0.332，P = 0.102、0.092、0.741); 术后6个月，观察组患者Lysholm 评分、国际膝关节文献委员会膝关节评估表 (IKDC) 评分、Tegner 评分均明显高于对照组 (t = 3.150、2.927、4.187，P =0.002、P =0.004、P <0.001); 术后 3、6 个月，观察组患者被动活动察觉阈值、被动角度再生试验值均明显低于对照组 (术后3个月: t = 2.951、2.583，P = 0.004、0.011; 术后 6 个月: t = 3.583、19.700，P =0.001、P <0.001)。结论 膝关节镜下保留残端自体腘绳肌腱单束重建可明显改善前交叉韧带损伤患者的膝关节功能，促进膝关节本体感觉恢复，疗效显著，值得临床推广应用。 |
| 英文摘要: |
| 【Abstract】 Objective To study the clinical efficacy of the single?bundle reconstruction with remnant autologous hamstring tendons preserved under knee arthroscopy in the treatment of anterior cruciate ligament injury. Methods 110 patients with anterior cruciate ligament injury, admitted into Shangqiu First People’s Hospital between December 2018 and December 2020, were enrolled as research subjects, and divided into study group (n = 55) and control group (n = 55).Patients in study group were treated with the single-bundle reconstruction with remnant autologous hamstring tendons preserved under knee arthroscopy, while patients in control group were treated with the single-bundle reconstruction without preserving the remnant autologous hamstring tendons. The operation time, postoperative drainage volume, length of stay,and recovery condition of knee functions and proprioception were compared between the two groups. Results There was no significant difference between the two groups in terms of operation time, postoperative drainage volume and length of stay (t =1.648, 1.700 and 0.332, P =0.102, 0.092 and 0.741). At six months after surgery, the Lysholm scores, the inter-national knee documentation committee (IKDC) knee evaluation form scores and Tegner scores of patients in study group were all obviously higher than control group (t =3.150, 2.927 and 4.187, P =0.002, P =0.004, P <0.001). Respectively at 3 months and 6 months after surgery, the thresholds to detect passive motion and the outcomes of passive angle reproduction test in study group were all markedly lower than control group (3 months after surgery: t =2.951 and 2.583,P =0.004 and 0.011; 6 months after surgery: t = 3.583 and 19.700, P = 0.001 and P < 0.001). Conclusion The single-bundle reconstruction with remnant autologous hamstring tendons preserved under knee arthroscopy can significantly improve the knee functions of patients with anterior cruciate ligament injury, promote the restoration of knee proprioception,and realize good therapeutic effects. |
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