endo-button系统关节镜下重建膝关节交叉韧带的应用探讨.doc

endo-button系统关节镜下重建膝关节交叉韧带的应用探讨 安徽医药AnhuiMedicalandPharmaceuticalJournal2009May;13(5)?519? endo.button系统关节镜下重建膝关节交叉韧带的应用探讨 王瑞,徐洪港,刘敬军,徐斌 (安徽医科大学第一附属医院骨科,安徽合肥230032) 摘要:目的探讨利用endo.button系统配合可吸收界面螺钉固定自体或异体肌腱重建膝关节前,后交叉韧带的临床效果.方 法关节镜下利用自体肌腱或异体胫前肌腱辅以endo—button系统治疗45例膝关节交叉韧带损伤患者.结果所有患者随访 0.5—4.5年(平均2.4年),按lysholm膝关节功能评分与Tegner膝关节运动评分标准,术前前交叉韧带损伤患者平均为52.7 分(1ysholm),2.6分(Tegner),术后为78.6分(1ysholm),5.7分(Tegner);后交叉韧带损伤患者术前平均57.6分(1ysholm),3.1 分(Tegner),术后79.4分(1ysholm),5.4分(Tegner).结论自体半腱肌,股薄肌与同种异体胫前肌腱重建膝关节前,后交叉韧 带强度好,植入后以endo—button系统固定牢靠,术后并发症少. 关键词:关节镜;交叉韧带;endo—buttom系统 Arthroscopicreconstructionofcruciateligamentwithautogenoussemitendinosus andgracilisorallograftfixedbyendo-buttonsystemandbioabsorbablescrew WANGRui.XUHong-gang.LIUJin-jun,XUBin (TheFirstAffiliatedHospitalofAnhuiMedicalUniversity,Hefei,Anhui230032) Abstract:AimTostudythetechniqueandclinicalcurativeeffectofarthroscopicreconstructionofanteriorand(or)posteriorcruciate ligamentwithautogenoussemitendinosusandgraciliesorallograftfixedbyendo.buttonsystemandbioabsorbablescrew.Method45ca?sesofinjureanteriorand(or)posteriorcruciateligamentwerereconstructedbymeansofsemitendinosusandgraciliesbyautogenousor anteriortibialmusclebyallograft.ResultFollowuptimewas2.4yearsonaverageforall45cases.BasedonlysholmscoreandonTeg?nerscoretodescribefunctionofkneejoint,theACLreconstructionscoreswere52.7(1ysholm),2.6(Tegner)onaveragebeforeopera?tion,and78.6(1ysholm),5.7(Tegner)onaverageafteroperation;PCLreconstructionscoreswere57.6(1ysholm),3.1(Tegner)on averagebeforeoperation,and79.4(1ysholm),5.4(Tegner)onaverageafteroperation.ConclusionsThebondingoffour梥tranded semitendinosusorallograftanteriortibialmuscleissimilartoanteriororposteriorcruciateligamentanditsstrengthismuchstronger. Four梥trandedconstructionandreliablefixationbyabsorbablescrewsandendo—buttonsystemissecurewithlowcomplication. Keyword:arthroscopy;cruciateligament;endo—buttonsystem 随着交通事故和运动损伤的增加,膝关节前交叉韧带 (anteriorcruciateligament,ACL)和后交叉韧带(posteriorClql— ciateliga