“长袖套”保残联合内减张前交叉韧带重建术
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广西柳州市人民医院

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广西壮族自治区卫生健康委员会自筹基金项目 编号:Z20190195


Arthroscopic Anterior Cruciate Ligament reconstruction with Long-cuff Remnant-preserving and Graft Tension-Relieving Technique
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Liuzhou People’s Hospital,Guangxi

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    摘要:

    摘要:目的:介绍关节镜下“长袖套”保残联合内减张前交叉韧带(ACL)重建术的手术技术和初步临床结果;方法:回顾性分析95例关节镜下ACL为上体部断裂且部分残端有附着点的病例,把断裂的ACL残束制成“长袖套”,将重建的移植物从中穿出,并联合使用关节内减张术重建ACL。术后行ADT,Lachman T、轴移试验评估韧带稳定性,单腿跳跃试验评估膝关节运动功能;并进行IKDC评分和Lysholm评分。术后2年行影像学检查和二次关节镜检,评估韧带生长情况。结果:所有病例均得到2年以上临床随访;所有患者的膝关节稳定性得到了有效恢复,术后膝关节功能较术前有显著提高(P<0.05)。二次镜检评估,韧带生长良好,无明显松弛。结论:ACL “长袖套”保残重建联合关节内减张技术,手术操作简便有效,能显著促进韧带生长并改善膝关节功能。

    Abstract:

    Abstract:[Objective]:To study the clinical outcomes of the arthroscopic Anterior Cruciate Ligament(ACL) reconstruction with long-cuff remnant-preserving and graft tension-relieving technique. [Methods]:A retrospective study was conducted on 95 patients who were diagnosised ACL rupture by MR received arthro-scopic ACL reconstruction with long-cuff Remnant preserving and Graft Tension-Relieving Technique. The results were assessed by the IKDC , Lysholm score, Lachman test, ADT, Pivot-shift T, One-Leg Hop test between pre- and post-operation . [Results]:All patients were follow-up above 24 months. Manual laxity tests and knee function in patients were all significantly improved postoperatively. All patients were recommended for the tibial post-screw removal and concomitant second-look arthroscopic examination, revealed fine ACL growth without laxity or other complication. [Conclusion]:ACL reconstruction with long-cuff remnant preservation and graft tension relieving technique showed good clinical results, anterior knee stability and graft translation.

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  • 收稿日期:2021-01-17
  • 最后修改日期:2021-04-12
  • 录用日期:2021-05-06
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