经前内侧入路及经胫骨隧道建立股骨隧道重建前交叉韧带疗效对比.pdfVIP

目 录 中文摘要···················································1 英文摘要···················································2 引引 言···················································3舌。’’。’。。’。’’。。。‘‘。。。···。。。。。。。‘。。。’‘。‘。·。‘·‘。··‘·。‘’ jE 文·················································-·7 1临床资料及病例选择···················--······-·--···-·7 1．1一般资料······--·-·--··························一······7 1．2病例选择······一·一·一·······一一··-····一·一·一··一·一7 1．2．1诊断标准·············································7 1．2．2诊断分级································--···········9 1．2．3病例纳入标准················--·-·········一··········9 1．2．4病例排除标准·········································9 2研究方法················-··················一一一一”·10 2．1手术方法············································10 2．1．1麻醉····························--··-················10 0 2．1．2体位·················-····························1 2．1．3麻醉后复查关节不稳定情况·····························10 2。1．4常规镜检及镜下处理·····························-·--··10 2．1．5肌腱切取和制备················一·--·····一一一””．．·10 1 2．1．6骨隧道的制备·······························一”．．”“1 2．1．7移植物的植入与固定·······················一一一一一一12 3 2．2术后处理及康复···········-·-···························1 2．3观察指标和疗效评定············“一．．一一一””一一一一·13 2．3．1膝关节稳定性测试·····································13 2．3．2采用Lysholm标准行膝关节功能评定···········-·········13 2．3．3关节活动度···············-················一一一一一·13 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·················-