经前内侧入路与经胫骨隧道建立股骨隧道重建前交叉韧带疗效对比.pdfVIP

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经前内侧入路与经胫骨隧道建立股骨隧道重建前交叉韧带疗效对比.pdf

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2．4统计学方法·····································一···．．14 3结果·····一一”··一一一一·--···一一·—··-·“一一·······14 4 3。1术前、术后12个月Lachman测试比较·····················1 3．2术前、术后Lysholm评分比较·“-··一····················14 5 3．3术前、术后膝关节受限程度·················-·-··········1 4讨论····························”·················--···16 4．1ACL的解剖和生物力学·································一16 4．2ACL重建手术································一··一···一16 4．2．1移植物的选择···-·-··································17 4．2．2移植物的形态········································19 4．2．3移植物的固定·················--·····················20 4．2．4骨隧道的位置································-·····一21 4．2．5术中合并伤的处理················-···················25 4．3术后康复···········--················一······--·······26 5术后并发症··············································27 5．1骨隧道增宽··········································--27 5．2关节活动受限···································-······28 5．3膝关节感染-···················一······--··············28 5．4隐神经髌下支损伤··························-···········28 6结论················-···························-·······29 参考文献·····························-····················30 附录··一·一·········一···--一一···一····一一··-·······42 综述·····--···········································43 致谢···········一·一一·”·一·一·一···一一一一·一······54 攻读学位期间发表的学术论文目录·······················-····55 作者声明··························．．·······················56 个人简历··················································57 2 中文摘要目的：对比研究经前内侧入路与经胫骨隧道建立股骨隧道重建前交叉韧带的临床治疗效果。和膝关节受限程度)，比较两者治疗效果。结果：结论：相对于TT技术，AM技术可以更准确地定位股骨隧道，实现解剖重建ACL股骨止点关键词前交叉韧带；关节镜；经前内侧入路技术；经胫骨隧道入路技术 Clinical Anterior Researchof Reconstructionfor Surgical Crucia