关节镜下LARS人工韧带重建后交叉韧带临床应用.docVIP

关节镜下LARS人工韧带重建后交叉韧带临床应用[摘要] 目的：探讨关节镜下运用韧带增强重建系统(ligament advanced reinforcement system， LARS)人工韧带重建后交叉韧带（PCL）的方法与疗效。方法：2007年4月～2008年12月对12例后交叉韧带撕裂伤的患者施行人工韧带重建术，其中，单纯PCL撕裂伤患者10例， ACL、PCL同时撕裂伤患者2例，合并内侧副韧带损伤3例。所有患者均给予LARS人工韧带重建术。手术时间30～90 min。术后膝关节放置引流管，单纯后交叉韧带撕裂不合并其余结构损伤者术后不做外固定，而合并有侧副韧带损伤患者术后给予石膏外固定3周，拆除外固定后开始屈伸关节锻炼。结果：术后所有患者经过6～21个月随访，术后膝关节不稳感消失。术后6个月Lysholm评分平均95分，患者膝关节功能恢复好，疗效满意。结论：在关节镜下采用LARS人工韧带重建后交叉韧带术属于微创手术，避免了采用自体肌腱重建须取材的并发症，也避免了同种异体移植材料的排斥及传染疾病的并发症。其手术操作简便，手术时间短，术后关节恢复快。 [关键词] 关节镜；后交叉韧带；人工韧带 [中图分类号]R687.3 [文献标识码] B[文章编号] 1673-7210（2009）06（b）-127-03 The clinical application of LARS artificial ligaments in the reconstruction of posterior cruciate ligament under arthroscopy DENG Huaidong, HUANG Zhongqiang, TAN Zhichao, ZHANG Binshan （One of Bone Branch (Joint Orthopedics), the Chinese Medicine Hospital in Dongguan City, Guangdong Province, Dongguan 523000, China） [Abstract] Objective: To investigate the methods and efficacy of LARS artificial ligaments in the reconstruction of posterior cruciate ligament under arthroscopy. Methods: From April 2007 to December 2008 , we collected 12 cases of lacerations of the posterior cruciate ligament patients artificial ligament reconstruction, a simple one of 10 cases of patients with PCL tear, ACL, PCL at the same time 2 cases of patients with lacerations, combined medial collateral ligament injury in three cases. All patients were given LARS artificial ligament reconstruction. The operation time was 30-90 minutes. Drainage tube placed after the knee, posterior cruciate ligament tear simply not the rest of the structure of the merger after injuries not external fixation, and the merger had collateral ligament injury in patients given three weeks plaster external fixation, external fixation after removal of flexion and extension joint exercise. Results: All patients were followed up after 6-21 months, after the disappearance of a sense of knee instability. Postoperative Lysholm score six month average of 9