中国内镜杂志2011，Vol.17Issue(3)：225-228,231,5.
关节镜下保留残端股骨双隧道双束后交叉韧带重建术
Arthroscopic double-bundle reconstruction of posterior cruciate ligament with double-femur-tunnel and remnant preservation
摘要
Abstract
[Objective] To evaluate the clinical outcomes of arthroscopic double-bundle reconstruction of posterior cruciate ligament with double-femur-tunnel and remnant preservation. [Methods ] From June 2007 to May 2009, 19 patients were treated with double-bundle PCL reconstruction under arthroscopy with double-femur-tunnel and remnant preservation. The two femoral tunnels were placed on footprint, anterolateral bundle was centered at 7mm from the articular cartilage at 10:30 (left) or 1:30 (right) o'clock, while posteromedial bundle was centered at 10mm from the articular cartilage at 8:30 (left) or 3:30 (right) o'clock. Residual PCL and surrounding synovial tissue saved during operation. Hamstring tendon was treed as autograft. [Results] Average follow-up was 18 months (12～20 months). Twelve patients showed PDT (++) instability and seven patients showed PDT (+++) instability preoperation, while sixteen cases showed negative PDT and three cases showed (+) instability postoperation.Rotational laxity was identified by dial test results, and eleven cases showed positive dial test preopemtion while all cases showed negative postoperation. IKDC score was significantly changed from (61.12±4.80) to (92.25±4.50). In IKDC evaluation fifteen patients were graded as normal and four patients were graded as nearly normal. Lysholm score was significantly increased from (54.23±5.20) to (90.13±6.10). [Conclusions] The results of this study showed that double-bundle reconstruction of posterior curciate ligament with double-femur-tunnel and remnant preservation can yield satisfied clinical outcomes. It mimics anatomic reconstruction and better stabilizes posterior and rotation tibial translation.关键词
后交叉韧带/膝关节/关节镜检查/移植分类
医药卫生引用本文复制引用
李忠,杨洪彬,陈歌,王治,杨柳..关节镜下保留残端股骨双隧道双束后交叉韧带重建术[J].中国内镜杂志,2011,17(3):225-228,231,5.基金项目
四川省卫生厅科研课题(编号:080180) （编号:080180）
