膝前交叉韧带损伤12例的解剖学重建

Reconstruction of anterior cruciate ligament:A report of 12 cases

目的 :探讨关节镜下采用异体前交叉韧带 (ACL)修复重建损伤的膝ACL的临床疗效。方法 :在关节镜的监视下采用经深低温冷冻保存的异体ACL移植解剖重建ACL治疗膝关节ACL断裂 12例 ,平均随访 14个月 ,术前Lysholm法评估平均6 0 .1± 5 .8。结果 :12例患者膝关节功能恢复满意。术后膝关节功能按照Lysholm法评估达 90 .8± 5 .2 ,其中优良率达 80 %。全组病例无关节粘连、切口感染或血管神经损伤等并发症。结论 :膝关节镜下采用异体ACL解剖学重建ACL ,可同时达到解剖学重建和等长重建 ,损伤小 ,康复快 ,疗效肯定 ,是一种有效的ACL的重建材料。

Objective:To evaluate the effect of anterior cruciate ligament(ACL) reconstruction with fresh-frozen ACL allograft.Methods:Twelve patients with a mean age of 24.7 years underwent the operation using allograft ACL.The average follow-up was 14 months.Lysholm rating scale was used preoperatively and postoperatively.The mean preoperative Lysholm score was 60.1±5.8.Results:All the cases rehabilitated smoothly.The mean postoperative Lysholm score was 90.8±5.2,which was significantly higher than that before operation.According to Lysholm rating scale,80% of the cases was classified as excellent or good.No joints adhesion,wound infection or injury of the blood vessel and nerves was found.Conclusions:Fresh-frozen ACL allograft is a good alternative for ACL reconstruction.