摘要
目的 :探讨关节镜下应用双股折叠半腱肌腱重建后交叉韧带 (Posteriorcruciateligament)的方法及疗效。方法 :2 0 0 0年 8月～ 2 0 0 3年 7月共收治 19例PCL损伤患者 ,使用开口螺旋肌腱剥离器剥离半腱肌腱 ,在肌腱肌腹交接处切断 ,保留肌腱远端附着点 ,纵切为两股 ,对折缝合。于股骨内髁PCL附着点处分别钻取前后两隧道 ,与胫后内外两隧道引出的重建韧带形成交叉 ,游离端使用可吸收螺钉固定。结果 :术后平均随访 16.3个月 ,Lachman试验术前 19例阳性 ,术后 1例阳性。轴移试验术前 10例阳性 ,术后均消失 ,Lysholm膝关节功能评分平均 93 .6分。IKDC评分 :A级 10例 ,B级 8例 ,C级 1例。结论 :关节镜下使用双隧道双股折叠半腱肌重建PCL能进一步恢复原有的解剖学特点 ,具有操作简单 ,重建韧带强度大 ,稳定性强 ,并发症少 ,能早期活动等优点。
Objective:To probe into the methods and the results of arthroscopic double fold reconstruction of the posterior cruciate ligament using the semitendinosus tendon.Method:Ninteen cases of PLC patients were treated between Aug. 2000 to Jul. 2003,stripping the semitendinosus tendon using open spira1 stripping machine,cutting at the joint of the tendon and the venter,leaving the tendon remote attachment point, verticaily dividing it into two parts,folding it in two and suturing it. Drill two tunnels at the PCL attachment point inside the thighbone,intersecting with the reconstructed 1igament from the two tunnels behind the shank,fixing the free end using the absorb bolt.Result:It is 16.3 months random visit after the operation,there were 19 positive cases before the operation in the Lachman trial and 1 negative case after the operation.In the remove trial,there were 10 positive cases before the operation,all of them disappeared,the evaluation of the function of the Lysholm Knee joint was 93.6 on average.IKDC grade:There were 10 cases of A and 8 cases of B.Conclusion:Arthroscopic two tunnels reconstruction of the posterior cruciate ligament using the semitendinosus tendon restore the characteris of the original anatomy,it has the advantages of easly operation,greatly rebuilt ligament strength,firmly stableness,less complication,earlier movable
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第12期910-912,共3页
Orthopedic Journal of China
关键词
后交叉韧带
关节镜检查
腱转移术
膝关节
Posterior cruciate ligament(PCL)
Arthroscopy
Tendon transfer
Knee joint
