中国组织工程研究与临床康复2011，Vol.15Issue(31)：5747-5750,4.DOI:10.3969/j.issn.1673-8225.2011.31.011
关节镜下异体跟腱单双束重建后交叉韧带的随机对照
Endoscopic posterior cruciate ligament reconstruction using achilles tendon allografts: single-bundle versus double-bundle
摘要
Abstract
BACKGROUND: Endoscopic posterior cruciate ligament reconstruction using achilles tendon allografts has been primarily performed by single-bundle and dou ble-bundle types.OBJECTIVE: To compare the clinical outcome of single-bundle and dou ble-bundle endoscopic posterior cruciate ligament reconstruction using achilles tendon allograft.METHODS: A total of 70 patients with single posterior cruciate ligament injury who received treatment at the Department of Orthopedics, Qingdao Municipal Hospital between January 2006 and January 2009 were included in this study. Allpatients were randomly divided into two groups: single-bundle group and double-bundle group. The single-bundle group had single-bundle reconstruction using achilles tendon allograft, and the double-bundle group had double-bundle reconstruction.RESULTS AND CONCLUSION: After surgery, 52 patients were successfully healed and followed up. The surgery time and the number of patients who need joint puncture were greater in the dou ble-bundle group than in the single-bundle group (P ＜ 0.05).At 18 months after surgery, the stability and range of motion of the knee joint, Lysholm and IKDC scores were improved in each group compared with prior to surgery (P ＜ 0.05). The tibial backward distance tested by KNEELAX3 when the knee joint flexed at 30° and 90° was significantly improved compared with prior to surgery (P ＜ 0.05). There was no significant difference in the range of motion of the knee joint, Lysholm and IKDC scores, and the tibial backward distance tested by KNEELAX3 when the knee joint flexed at 30° and 90° between the single-bundle and double-bundle groups (P ＞ 0.05). Compared with single-bundle reconstruction , double-bundle reconstruction resulted in poor improvement in early clinical curative effects and greater surgical trauma, required long surgery time, and lead to swelling of the knee joint. Therefore, double-bundle reconstruction should not be the preferred protocol for posterior cruciate ligament reconstruction and its long-term effects need to be further investigated.关键词
异体跟腱/后交叉韧带重建/单束重建/双束重建/关节镜分类
基础医学引用本文复制引用
张其亮,滕学仁..关节镜下异体跟腱单双束重建后交叉韧带的随机对照[J].中国组织工程研究与临床康复,2011,15(31):5747-5750,4.基金项目
青岛市科技局项目(06-2-2-6-nsh),关节镜微创重建膝交叉韧带的基础和临床研究. （06-2-2-6-nsh）
