髂胫束与腓肠肌内侧头编织修复后交叉韧带陈旧性断裂

Repairing the old injury of posterior cruciate liganment by transplanting iliotibial tract into medial gastrocnemius muscle.

目的为治疗膝关节后交叉韧带陈旧性损伤提供一种新术式。方法将髂胫束移植在血运丰富的腓肠肌内侧头肌腹内,与之编织为一体,动、静力联合替代后交叉韧带。结果临床应用7例,膝关节稳定性恢复良好。结论该术式能促进、保护移植髂胫束血液循环重建过程顺利完成,保证髂胫束的等长重建,成功地复制后交叉韧带的功能。

Objective To investigate a new procedure for the treatment of lold injury of posterior cruciate ligament of knee joint. Methods The iliotibial tract was transplanted into the venter musculi of medial gastrocnemius muscle with rich blood supply and integrated together. The posterior cruciate ligament of the knee point was replaced with a combined dynamic and static force. Results This procedure was clinically conducted in 7 cases and the good recovery of the stability of the knee joint was obtained. Conclusions The procedure could promote and prevent the smooth complete of the blood supply reconstruction for the iliotibial tract, and guarantee the isometric reconstruction of iliotibial tract and successfully rebuild the function of posterior cruciate ligament of the knee point