关节镜下带骨块自体腘绳肌重建前交叉韧带

Arthroscopic Anterior Cruciate Ligament Reconstruction with Bone—insertion Hamstring Tendon Autograft

目的：评价关节镜下带骨块自体胭绳肌重建前交叉韧带的治疗效果。方法：对33例前交叉韧带损伤的患者采用关节镜下带骨块自体胭绳肌重建前交叉韧带治疗方法，术后随访6个月-12个月，采用Lachman试验、Lysholm功能评分、膝关节活动范围、X线等方法评价关节镜下带骨块自体胭绳肌重建前交叉韧带的临床效果。结果：Lysholm功能评分：优26例；良5例：可2例。Lachman试验阳性2例。膝关节活动度120°-150°，平均137°，术后半年X线检查未见有骨隧道扩大者。结论：关节镜下带骨块自体胭绳肌重建前交叉韧带可获得满意的疗效。

Objective：To evaluate the results of arthroscopic anterior cruciate ligament （ACL） reconstruction with bone---insertion hamstring tendon autograft. Methods： We performed arthroscopic anterior cruciate ligament reconstruction with bone--insertion hamstring tendon autograft in 33 cases.All the cases were followed up from six months to twelve months.The evaluation was done on the bases of their results in Lachman test, Lysholm score scale,Range of motion and X--ray. Results：According the Lysholm scoring system, 26 cases were excellent,5 cases good and 2 fair, with excellent and good results accounting for 93.8%.Two cases were positive in Lachman test. The range of motion was 120 to 150 degree. No case had enlarged bone tunnel in X-ray 6 months after operation. Conclusion：A satisfactory result can be expected in most cases ofarthroscopic ACL reconstruction with bone ending hamstring tendon autograft.