中国组织工程研究Issue(51)：8320-8324,5.DOI:10.3969/j.issn.2095-4344
自体腘绳肌腱重建前交叉韧带：不同方向切口取肌腱对胫前皮肤感觉的影响
Autologous hamstring tendon for anterior cruciate ligament reconstruction：influence of incisions in different directions for cutting the hamstring tendon on the anterior tibial skin sensitivity
李久源 1赵其纯 1尚希福 1邓小文 1干子阳1
作者信息
- 1. 安徽医科大学附属省立医院骨二科，安徽省合肥市 230001
- 折叠
摘要
Abstract
BACKGROUND:Autologous hamstring tendon for anterior cruciate ligament reconstruction is the mainstream treatment of anterior cruciate ligament injury. When traveling from inside to outside and from top to bottom in the front of the knee, the patelar branch of the saphenous nerve runs paralel to the hamstring tendon. Therefore, to cut the tendon can lead to tibialis anterior skin sensitivity loss. To alter the incision direction may reduce the impact on the anterior tibial skin sensitivity. <br> OBJECTIVE:To explore the influence of incisions in different directions for cutting the hamstring tendon on the anterior tibial skin sensitivity in anterior cruciate ligament reconstruction. <br> METHODS:Seventy-four patients with anterior cruciate ligament injury admitted from July 2013 to February 2014 were enroled. These patients underwent arthroscopic anterior cruciate ligament reconstruction using autologous hamstring tendon, and randomly divided into oblique incision group (n=37) and vertical incision group (n=37). <br> RESULTS AND CONCLUSION:There was no statisticaly significant difference in the incision length between the two groups (P > 0.05). Compared with the vertical incision group, the area of skin sensitivity loss was smaler in the oblique incision group at 2 days, 1 month and 3 months after reconstruction (P < 0.05), but after 6 months, there was no difference in the area of skin sensitivity loss and Lysholm scores between the two groups (P > 0.05). These findings indicate that during anterior cruciate ligament reconstruction, the oblique and vertical incisions have similar effects on had no effect on postoperative recovery of anterior tibial skin sensitivity and knee function.关键词
组织构建/组织工程/前交叉韧带重建/关节镜/隐神经髌下支/不良反应/神经损伤/自体肌腱/切口方向/皮肤感觉减退Key words
Subject headings:anterior cruciate ligament/tibial never/hypesthesia/knee joint分类
医药卫生引用本文复制引用
李久源,赵其纯,尚希福,邓小文,干子阳..自体腘绳肌腱重建前交叉韧带：不同方向切口取肌腱对胫前皮肤感觉的影响[J].中国组织工程研究,2014,(51):8320-8324,5.
