组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2012, Vol. 8 ›› Issue (2): 96-98.doi: 10.3969/j.issn.1673-0364.2012.02.010

• 论著 • 上一篇    下一篇

关节镜下双束重建与单束重建膝前交叉韧带的效果比较

张一鹏，刘伟新，梁献会   

  1. 新安县第二人民医院骨科；中国人民解放军五三四医院骨科；新安县中医院骨科
  • 发布日期:2020-07-23

Effects of Single-Bundle and Double-Bundle Reconstruction in the Repair of Anterior Cruciate Ligament under Arthroscope

ZHANG Yipeng1,LIU Weixin2,LIANG Xianhui3   

  1. 1 Department of Orthopedics,Xin’an Second People’s Hospital,Xin’an 471800;2 Department of Orthopedics,534 Hospital of Chinese PLA,Luoyang 471000;3 Department of Orthopedics,Xin’an Hospital of Traditional Chinese Medicine,Xin’an 471800.
  • Published:2020-07-23

摘要： 目的比较双束重建与单束重建膝前交叉韧带(ACL)的临床效果。方法分别对31例和30例膝前交叉韧带损伤患者行双束重建与单束重建手术,通过关节稳定性试验、Tegner体育量表评分和术后满意度来评价疗效。结果双束组和单束组Lachman试验阳性分别为1例和7例(P<0.05);边对边差异<3 mm分别为27例和19例(P<0.05);Tegner体育量表评分双束组优于单束组。结论双束重建符合正常膝ACL的空间结构,更能满足膝关节伸直位和扭转位时的生物力学要求。

关键词: 膝前交叉韧带, 前内侧束, 后外侧束, 重建, 疗效

Abstract: Objective To compare the clinical effects of arthroscopic single-bundle and double-bundle reconstruction in the repair of anterior cruciate ligament(ACL).Methods Thirty-one patients with ACL rupture were operated by double-bundle reconstruction while thirty patients with ACL rupture were operated by single-bundle reconstruction under arthroscope.Joint stability test,Tegner score and postoperative satisfaction were evaluated.Results Lachman test were positive in 1 case of double-bundle group and 7 cases of single-bundle group(P<0.05);Edge to edge differences were less than 3 mm in 27 cases of double-bundle group and 19 cases of single-bundle group(P<0.05);Tegner score of double-bundle group was better than single-bundle group.Conclusion Double-bundle reconstruction could fit the space structure of normal knee ACL and could better satisfy the biomechanical require of knee joint at unbend and reverse position.

Key words: Anterior cruciate ligament, Anteromedial bundle, Posterolateral bundle, Reconstruction, Effect

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