关节镜下膝前交叉韧带与后交叉韧带联合重建论文.docVIP

　　关节镜下膝前交叉韧带与后交叉韧带联合重建论文 孙磊，宁志杰，田 敏，宁廷民，张 红，罗 毅，马清元，高加智.freel膝关节功能评分为75~95分，平均（8654±689）分。国际膝关节文件编制委员会（IKDC）综合评定由术前显著异常（D级）13例，改进为随访时正常（A级）3例、接近正常（B级）8例、异常（C级）2例。13例病人中，11例恢复至伤前运动水平，2例运动水平较伤前减低。 ［结论］膝关节双交叉韧带损伤多伴有其它重要结构损伤，需妥善处理合并损伤。关节镜下自体移植物联合单束重建ACL和PCL创伤小、手术操作精细，术后膝关节功能恢复满意。 关键词：膝关节； 前交叉韧带； 后交叉韧带； 关节镜； 四股绳肌腱； 单束重建 Abstract：［Objective］To explore the clinical characteristics of bicruciate ligament injury of the knee, evaluate the technique and oute of arthroscopic bined reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) Sept 2001 to Feb 2005, 13 knees , 5 knee edial coner (PMC) and medial collateral ligament (MCL), 3 bined eniscus tear, 1 edial meniscus tear, 3 associated itted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of PMC and MCL in 4 patients ed in this phase. Arthroscopic bined reconstruction of ACL and PCL ed in all patients from 4 to 12 a, reconstruction of PLC oris tendon tenodesis in 3 patients and reconstruction of PMC and MCL oral fascia in 1 patient ultaneously.［Result］No severe plications occurred in early stage after operation in the 13 patients. All of them 10 to 39 months onths. Lysholm score ore, there provement in IKDC score from severely abnormal ( grade D ) in 13 knee preoperatively to normal ( grade A) in 3 knees, nearly normal ( grade B ) in 8 knees and abnormal in 2 knees at folloe sports level before injury and 3 ent tear of the knee is usually bined portant structure damages,.freelent and treatment of the bined injuries are essential. Arthroscopic bined reconstruction of ACL and PCL inimal trauma in surgery and reliable satisfactory oute. Key ent (ACL); Posterior cruciate ligament (PCL); Arthroscopy; Quadrupled hamstring tendons; Single bundle reconstruction 膝关节前交叉韧带(anterior cruciate ligament, ACL)和后交叉韧带(posterior cruciate ligament，PCL)是膝关节最重要的稳定结构之一，ACL与PCL同时损伤断裂(双交叉韧带损伤)见于高能量损伤，且常伴有膝关节其它结构损伤，导致严重膝关节不稳和功能障碍。因此对膝关节ACL与PCL同时损伤，特别是伴发其它结构损伤者应