解放军医药杂志2016，Vol.28Issue(8)：39-43,5.DOI:10.3969/j.issn.2095-140X.2016.08.010
解剖型前交叉韧带重建术前、术后MRI与正常膝关节MRI比较分析
Comparative Analysis of MRI Results between Preoperative and Postoperative Anatomic ACL Reconstruction and Normal Knee MRI
张壮岱 1金社辉 2冯志军 1野战涛 1杨云龙 1张虎1
作者信息
- 1. 050082 石家庄，解放军白求恩国际和平医院骨三科
- 2. 052460 河北 无极，无极县医院外科
- 折叠
摘要
Abstract
Objective To compare and analyze magnetic resonance imaging ( MRI) results between preoperative and postoperative anatomic anterior cruciate ligament ( ACL) reconstruction and normal knee MRI so as to discuss recov-ery of normal structure by ACL reconstruction. Methods Clinical data of 30 ACL rupture patients with anatomical ACL reconstruction ( operation group) during March 2008 and September 2011 was respectively analyzed. Curative effect was evaluated using international commission on knee score ( IKDC) and Lysholm knee joint scoring, and stability and mobili-ty of knee joints were assessed. Preoperative and postoperative routine examination of MRI (3. 0TGE, 4mm thickness) including ACL signal evaluation and detections of Blumensaat angle, sagittal ACL angle, posterior cruciate ligament ( PCL) angle, PCL index and tibia antedisplacement were performed, and then the results were compared with those of MRI indexes of 30 cases of normal knees ( normal group) . Results All postoperative patients had normal flexed mobili-ty, and results of anterior drawer test were negative. Lachman test showed positive in 3 patients with degreeⅠand 1 pa-tient with degree Ⅱ;3 patients had positive pivot shift test. Values of postoperative IKDC subjective and Lysholm knee joint scores were higher than those before surgery (P<0. 05). Evaluation of ACL signal by Rak' s method showed that there were 27 patients with class 1 ( excellent) and 3 patients with class 2 ( moderate) . There were no significant differ-ences in ACL angle among preoperative, postoperative in operation group and normal groups (P>0. 05). Values of Blu-mensaat angle, PCL index and tibia antedisplacement in postoperative operation and normal groups were lower than those in preoperative operation group (P<0. 05), but there were no significant differences in the vales between postoperative operation and normal groups ( P>0. 05 ) . Values of PCL included angle in postoperative operation and normal groups were higher than that in preoperative operation group (P<0. 05), and the value in postoperative group was significantly higher than that in normal group (P<0. 05). Conclusion Anatomical ACL reconstruction can well recover anteroposte-rior and rotational stability of knee joint by comparison analysis of MRI results between preoperative and postoperative an-atomic single-bundle ACL reconstruction and normal knee MRI.关键词
前交叉韧带/损伤/解剖重建Key words
Anterior cruciate ligament/Injury/Anatomical reconstruction分类
医药卫生引用本文复制引用
张壮岱,金社辉,冯志军,野战涛,杨云龙,张虎..解剖型前交叉韧带重建术前、术后MRI与正常膝关节MRI比较分析[J].解放军医药杂志,2016,28(8):39-43,5.
