关节镜下同种异肌腱移植重建前交叉韧带损伤的临床疗效观察.pdfVIP

Purpose ： To explore more than arthroscopic Tendon allograft of anterior cruciate 1igament reconstruction of the application and therapeutic effect of the surgical methods and clinical clinical efficacy Material and method ：From December 2009 to June 2010 ，30 cases of ruptures of ACLs are diagnosed by clinical and arthroscopic examinations ．There were20 males and 10 females with an average age of 26.3 years(19--49 years)．The locations were left knee in 18 cases and right knee in 12 cases．Exercise—induced injury of which 20 cases ，6 cases of car accident injury，4 cases of other injuries ．All patients had the history of knee joint injury ．The basis of clinical performance and MRI diagnosis of anterior cruciate iigament injury in 30 cases. Take the same kind of frozen tendon allograft, such as arthroscopic tendon allograft long line of anterior cruciate ligament reconstruction. Femoral and tibial side can be absorbed by compression screw fixation. The result was estimated by Lysholm knee scores and IKDC knee score of 1 year after surgery. Results: ALL patients achieved healing by the first intention. Knee extension and flexion function was restored normal at 7～10 weeks. The patients were followed up averagely 1 year(6 一 14 months). 1 cases of obvious improvement in symptoms ．Follow—up drawer and Lachman tests positive test 2 cases ，more patients were negative ．Range of motion ： 0°～130°28 cases，0°～100°2 cases．Or mitigate the original symptoms ．Subjective evaluation of knee function improved the treatment results were satisfactory ．Lysholm knee scoring method used to assess post—operative score of 87.21士8.57，compared with the preoperative differences were ignificant(P0 ．01) ． Conclusion ：The arthroscopic anterior cruciate ligament reconst