中国组织工程研究2017,Vol.21Issue(24):3815-3820,6.DOI:10.3969/j.issn.2095-4344.2017.24.008
取自体同侧1/2腓骨长肌肌腱重建膝关节前交叉韧带
Anterior cruciate ligament reconstruction with autologous ipsilateral 1/2 peroneus longus tendon
摘要
Abstract
BACKGROUND:Anterior cruciate ligament (ACL) injury is a commonly sport-induced knee joint injury that does serious harm to the knee stability. ACL reconstruction is a commonly used treatment method, but researches on 1/2 peroneus longus tendon (PLT) graft are rarely reported. OBJECTIVE: To investigate the clinical outcomes of removing the autologous ipsilateral 1/2 PLT under arthroscopy for ACL reconstruction. METHODS:106 patients with complete ACL rupture in the Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University from December 2010 to December 2014 were enrolled, and autologous ipsilateral 1/2 PLT was removed under arthroscopy for ACL reconstruction. At baseline, 3, 6 and 12 months postoperatively, the knee stability was evaluated manually through the anterior drawer test, Lachman test, and pivot-shift test, and the knee function was evaluated by Tegner activity scale, Lysholm and International Knee Documentation Committee scores. RESULTS AND CONCLUSION: Postoperative anterior drawer test, Lachman test, and pivot-shift test tests were negative in all patients. In terms of Tegner activity scale, Lysholm and International Knee Documentation Committee scores, there were significant differences at baseline and postoperative 3 months as compared with postoperative 6 months (P < 0.05); the scores at baseline and postoperative 3 months showed significant differences compared with 12 months postoperatively (P < 0.05); the scores showed no significant difference between 6 and 12 months postoperatively (P > 0.05). These results indicate that autologous ipsilateral 1/2 PLT is a good choice for ACL reconstruction under arthroscopy, achieving rapid and satisfactory functional recovery of the knee joint, which is not only minimally invasive and easy to operate, but also exhibits good therapeutic efficacy.关键词
组织构建/组织工程/前交叉韧带/腓骨长肌肌腱/韧带重建/关节镜分类
医药卫生引用本文复制引用
张磊,周鑫,祁冀,关钛元,谢俪君,汪国友,扶世杰,李义凯..取自体同侧1/2腓骨长肌肌腱重建膝关节前交叉韧带[J].中国组织工程研究,2017,21(24):3815-3820,6.基金项目
四川省教育厅立项科研项目(17ZB0472) (17ZB0472)
泸州市科技局科技计划项目(2014-S-46 (8/11)) (2014-S-46 (8/11)
西南医科大学-西南医科大学附属中医医院联合专项项目(2016-4-31) Funding:the Research Project of Educational Department of Sichuan Province, No. 17ZB0472 (2016-4-31)
the Science and Technology Program of Bureau of Science and Technology of Luzhou, No. 2014-S-46(8/11) (8/11)
the Integrated Project of Southwest Medical University & Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University, No. 2016-4-31 ()