[1]林 伟,余光书,邱俊钦,等.关节镜下胫前肌腱单束与双束重建后交叉韧带的临床效果比较[J].福建医药杂志,2021,43(02):100-103.
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关节镜下胫前肌腱单束与双束重建后交叉韧带的临床效果比较()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期数:
2021年02期
页码:
100-103
栏目:
临床研究
出版日期:
2021-04-15

文章信息/Info

文章编号:
1002-2600(2021)02-0100-04
作者:
林 伟余光书邱俊钦肖展豪1林 任张雨婷
厦门大学附属福州第二医院运动损伤科(福州 350007)
关键词:
后交叉韧带 单束重建术 双束重建术 胫骨前外侧隧道 关节镜
分类号:
R681
文献标志码:
B
摘要:
目的 比较关节镜下胫前肌腱单束重建与双束重建后交叉韧带的临床效果。方法 选择我院后交叉韧带损伤患者41例,回顾性分析经胫骨前外侧隧道单束重建后交叉韧带手术与经胫骨前外、前内侧隧道双束重建后交叉韧带手术的临床资料,比较两组手术时间,手术并发症,术前、术后6个月随访时的膝关节活动度(ROM)、Lysholm评分,并用Kneelax 3评估膝关节屈曲30°和90°时的稳定性。结果 单束重建组的平均手术时间明显短于双束重建组(t=9.774 P=0.000); 单束重建组与双束重建组都没有出现感染、神经血管损伤等并发症。单束重建组与双束重建组的膝关节活动度变化(t=0.073,P=0.943)、Lysholm评分变化(t=0.738,P=0.470)、屈膝30°时胫骨后移情况(t=1.035,P=0.314)及屈膝90°时胫骨后移情况(t=1.256,P=0.225)比较,差异均无统计学意义(P>0.05)。结论 胫骨前外侧隧道单束重建后交叉韧带手术与经胫骨前外、前内隧道双束重建后交叉韧带手术均能提高术后中期的膝关节功能及稳定性,但胫骨前外侧隧道单束重建比双束重建组的手术时间更短。

参考文献/References:

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更新日期/Last Update: 2021-04-15