国际医药卫生导报2013，Vol.19Issue(9)：1264-1268,5.DOI:10.3760/cma.j.issn.1007-1245.2013.09.016
关节镜下保留残端双股双隧道后交叉韧带重建术
Arthroscopic double-bundle reconstruction of posterior cruciate ligament with double-femur-tunnel and remnant preservation
李佳宇 1李巧红 1赵亮 2戴双武 2唐恒涛2
作者信息
- 1. 511340广州,广东省水电医院骨科
- 2. 510630 广州,南方医科大学第三附属医院骨科
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy of arthroscopic double-bundle reconstruction of posterior cruciate ligament with double-femur-tibia-tunnel and remnant preservation.Methods From June 2007 to June 2010,15 patients were treated with single-femur-tibia-tunnel reconstruction and 18 patients were treated with double-femur-tibia-tunnel PCL reconstruction with remnant preservation under arthroscopy.The two femoral tunnels were placed on footprint,anterolateral bundle was centered at 12mm from the upper apex of femur condyle and 7mm from the remote articular cartilage,while posteromedial bundle was centered in the footprint according to the adjacent method.Residual PCL and surrounding synovial tissue was saved during the procedure.Hamstring tendon was used as autograft.The AL bundle was tightened and fixed in 70° degree of flexion,and PM bundle was tightened and fixed in 0° degree.Results All the patients were followed up.Average follow-up was 32.6 (42 ～ 24) months in the single tunnel group and 30.4 (39 ～ 24) months in the double tunnel group.All the patients showed negative PDT.The Lysholm score was (91.4 ± 3.6) and (93.3 ± 2.8) in the single and the double tunnel groups,with no statistical significance between the two groups (P＞0.05).Measured by KT-1000 arthrometer,the posterior tibial translation was (5.8 ± 0.4) and (5.2 ± 0.6)mm in the single tunnel group at 0° and 60° flexion,while it was (3.4 ± 0.3) and (3.9 ± 0.5)mm in the double tunnel group,with a statistical significance (P＜0.05).At 90° flexion,however,no significance was found between the two groups (P＞0.05).Conclusions PCL reconstruction with double-femurtibia-tunnel method is in consistent with anatomy.It has a better clinical efficacy than the single-femur-tibia-tunnel method.关键词
后交叉韧带/膝关节/重建/关节镜Key words
Posterior cruciate ligament/Knee joint/Reconstruction/Arthroscopy引用本文复制引用
李佳宇,李巧红,赵亮,戴双武,唐恒涛..关节镜下保留残端双股双隧道后交叉韧带重建术[J].国际医药卫生导报,2013,19(9):1264-1268,5.
