临床骨科杂志2011，Vol.14Issue(2)：191-194,4.
双束双隧道6股腘绳肌腱解剖重建前交叉韧带
Anatomic double bundle anterior cruciate ligament reconstruction with six-stranded hamstring tendons
黄长明 1董辉详 1范华强 1付仰攀 1韩亮1
作者信息
- 1. 解放军第174医院骨科,福建,厦门,361003
- 折叠
摘要
Abstract
Objective To study the feasihility and short-term effects of anatomic douhle bundle anterior cruciate ligament ( ACL ) reconstruction with six-strand hamstring tendons autograft.Methods Arthroscopic ACL reconstruction was carried out in 28 patients with ACL injuries by using the quadruple hamstring tendon autograft.It was reconstructing of the anteromedial( AM ) tunnel and posterolateral( PL ) tunnel separately while creating 2 femoral and 2 tibial bone tunnels close to each other at the ACL footprint.The semitendinous tendon was used to make one three-stranded graft and the gracilis tendon was used to make one three-stranded graft.Feromal anteromedial bundle( AMB ) and posterolateral bundle( PLB ) fixation were performed by means of two Endobutton devices, tibial AM fixation was done with Bio-Intrafix devices, and tibial PL fixation was done with Milagro bioresorbable interference screws.Results A follow-up check up was made in the 28 patients for 12 ～ 24( 19.54 ± 3.84 )months.The Lysholm scores were improved from a preoperative score of 18 ～ 60( 34.79 ± 12.53 ) to 90 ～ 98( 95.54 ±2.06 ) at follow-up.There were significant difference in the Lysholm scores ( t = 26.51 ,P ＜ 0.01 ).No postoperative complications such as synovitis and ligament rupture and movement restriction occurred.Conclusions Anatomic double bundle ACL reconstruction with six-strand hamstring tendons autograft can be simple, effective, useful, reproducible and gives a satisfactory shortterm results.关键词
关节镜检查/前交叉韧带/外科学/膝关节分类
医药卫生引用本文复制引用
黄长明,董辉详,范华强,付仰攀,韩亮..双束双隧道6股腘绳肌腱解剖重建前交叉韧带[J].临床骨科杂志,2011,14(2):191-194,4.
