浙江医学2011，Vol.33Issue(10)：1444-1446,3.
关节镜辅助下膝关节交叉韧带损伤伴僵直同时进行松解及人工韧带重建的应用研究
Arthroscopic reconstruction of artificial ligament with simultaneous lysis of knee joint ankylosis for cuciate ligament injury
摘要
Abstract
Objective To evaluate the efficacy of arthroscopic reconstruction of artificial ligament with simultaneous surgical lysis ofknee joint ankylosis in patients with cruciate ligament injury. Methods Total 27 patients with cruciate ligament injury and knee akylosis were enrolled in the study, 14 cases received surgical lysis for ankylosis and functional rehabilitation first, subsequently underwent reconstruction of artificial ligament (Group A); 13 cases received lysis operation and cruciate ligament reconstruction simultaneously (Group B). The function ofknee joint and length ofhospital stay were compared between two groups. Results In group Athe movement ofknee was 30°~75°(64.0°± 3.7°)before operation and reached to 90°~150°(123.0°± 8.5°) after operation; those for group B were 35° ~80°(71.0°± 3.5°)and 90°~145°(l 18.0°± 9.1°), respectively (P>0.05). The Lachman test scores for group Awere 45~70(61.0± 4.1) before operation and 80~95 (86.0± 5.6)after operation; those for group B were 51 ~ 72(63.0± 4.5) and 78~94(84.0± 5.3), respectively (P>0.05). The Lachman test, drawer test and pivot shift test scores were all in normalrange after operation in both groups. The length ofhospital say for group Awas 16~28 (20.0± 2.8)d ; that for group B was 7~15(10.0± 1.6)d (P<0.05). Conclusion Arthroscopic reconstruction of artificial ligament with simultaneous lysis ofknee akylosis is an effective approach and it can also reduce the length ofhospital stay for patients with cruciate ligament injury.关键词
关节镜/膝关节僵直/交叉韧带松解/人工韧带重建Key words
Arthroscopy/Knee stiffness/Cruciate ligament injury/Releasing rebuilding the artificial ligament引用本文复制引用
章智伟,廖乐明,刘雪龙,屠玉兰..关节镜辅助下膝关节交叉韧带损伤伴僵直同时进行松解及人工韧带重建的应用研究[J].浙江医学,2011,33(10):1444-1446,3.基金项目
富阳市科技发展计划项目(08B25) （08B25）
