膝后内侧切取腘绳肌腱重建前交叉韧带
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火箭军特色医学中心

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Harvesting the Hamstring Tendons From the Posteromedial Corner of the Knee For Anterior Cruciate Ligament Reconstruction
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Medical Center of Rocket Force

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    摘要:

    目的:介绍在膝关节后内侧角切取股薄肌及半腱肌重建前交叉韧带的手术技术和初步临床结果。方法:2014年8月至2017年1月,共收入23例病人。沿屈膝皮纹作长约2-3cm横切口,保护隐神经。挑出肌腱,切断半腱肌副腱束。筋膜下分离至肌腱胫骨止点处,带骨膜将其掀起并切断。末端编织缝合,常规方法顺行向近端切取全长肌腱。结果:术后平均随访24.5个月。全部病例均完整切取股薄肌及半腱肌,均未出现切取肌腱过短或误切取缝匠肌的情况。有2例病人出现短暂性小腿内侧麻木,均于随访期内缓解。结论:采用膝关节后内侧角切口切取腘绳肌腱可避免伤及隐神经,操作方便,并发症少,效果满意。

    Abstract:

    Objective: To introduce the surgical technique and the clinical results of harvesting the gracilis and semitendinosus tendons from the posteromedial corner for anterior cruciate ligament reconstruction. Methods: From 2014.8 to 2017.1,the technique was used in 23 patients with anterior cruciate ligaments ruptures.A horizontal incision of about 2- 3 cm was made on the posteromedial corner just above the flexor crease and the saphenous nerve was protected. The hamstring tendons were indentified and the lower limb of semitendinosus tendon was cut off. Free the tibial end of the tendons beneath the periosteum and cut it off. Then the tendons were harvested and prepared in routine method. Results: All patients had their tendons harvested completely and were followed up in an average of 24.5 months.No sartorius was falsely harvested and no hamstring tendons were harvested prematurely. 2 patient complaint of skin numbness in the saphenous nerve dominating area, but the symptoms were alleviated during follow-up period.. Conclusion: The study revealed harvesting the gracilis and semitendinosus tendons from the posteromedial corner could avoid injures to the saphenous nerve. The manipulation was easy with less complications and satisfactory results.

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  • 收稿日期:2020-01-15
  • 最后修改日期:2020-07-15
  • 录用日期:2020-08-04
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