四川医学2026，Vol.47Issue(7)：721-726,6.DOI:10.16252/j.cnki.issn1004-0501-2026.07.001
透视辅助定位"理想"股骨止点重建术治疗前交叉韧带损伤的疗效分析
Efficacy Analysis of the Fluoroscopically Assisted"I.D.E.A.L."Femoral Insertion Reconstruction in the Treat-ment of Anterior Cruciate Ligament Injury
摘要
Abstract
Objective To explore the efficacy of fluoroscopically assisted"I.D.E.A.L."femoral insertion reconstruction in the treatment of anterior cruciate ligament injury.Methods The clinical data of 67 patients with ACL injury admitted to the Sports Hospital,Institute of Sports Medicine,General Administration of Sport of China from January 2017 to January 2021 were ret-rospectively analyzed.According to different surgical reconstruction methods,they were divided into observation group(n=32)and control group(n=35).The observation group,underwent"1.D.E.A.L."femoral insertion reconstruction assisted by fluorosco-py.The control group underwent routine arthroscopic ACL reconstruction.The results of knee joint physical examination,knee joint function score and knee joint motor function were compared between the two groups at the postoperative follow-up time,and postop-erative complications were observed.Results The observation group was followed up for 12 to 30 months,the average(21.44±4.91)months,the control group was followed up for 14 to 32 months,the average(22.26±5.68).The postoperative Lysholm score,IKDC score,and Marx score in the observation group were significantly higher than those in the control group(all P＜0.05).The ratios of the affected side to the healthy side in the single-leg hop test,triple hop test,and crossover triple hop test in the observation group were significantly better than those in the control group(all P＜0.05).There were no statistically significant differences between the two groups in postoperative knee physical examination results(Lachman test,pivot shift test),ACL-RSI score,Y-balance test ratio(affected/healthy side),or the incidence of postoperative complications(all P＞0.05).Conclusion Fluoroscopy-assisted"I.D.E.A.L."femoral insertion reconstruction for anterior cruciate ligament injury can improve knee func-tional score and motor function performance,and is safe and reliable.关键词
辅助透视定位/前交叉韧带重建术/"理想"股骨止点/膝关节查体/功能评分/运动功能表现/并发症/疗效Key words
fluoroscopy assisted positioning/anterior cruciate ligament reconstruction/"I.D.E.A.L."femoral insertion/knee joint physical examination,function score/function performance/complications/clinical efficacy分类
医药卫生引用本文复制引用
崔鹏,果森,王国栋,周敬滨,钱驿,张辉..透视辅助定位"理想"股骨止点重建术治疗前交叉韧带损伤的疗效分析[J].四川医学,2026,47(7):721-726,6.基金项目
国家自然科学基金项目(编号:82172514) （编号:82172514）
