前交叉韧带重建胫骨切口位置与胫前皮肤感觉障碍临床研究

The Study of Sensory Disturbance of Different Skin Incision in Anterior Cruciate Ligament Reconstruction

目的：探讨前交叉韧带重建手术胫前皮肤切口与胫前皮肤感觉障碍的关系。方法：2007年10月~2008年6月,采用不同技术重建前交叉韧带共223例病例,其中50例得到随访,根据不同的切口类型分为小切口组、斜切口组、直切口组与后内切口组4组,测量各组胫前皮肤感觉障碍区域的面积,采用方差分析比较各组间皮肤感觉障碍面积的差异。结果：小切口组切口长度与斜切口组、直切口组、后内切口组相比较,差异有统计学意义（P〈0.001）;对于感觉减退区域的面积,小切口组、斜切口组之间差异无统计学意义（P=0.800）,直切口组、后内切口组之间差异也无统计学意义（P=0.316）,而小切口组、斜切口组与直切口组、后内切口组的差异有统计学意义（P〈0.05）。结论：采用小切口和斜切口可以减少前交叉韧带重建术后胫前皮肤感觉障碍的面积。

Objective To observe the relationship between the skin incision of anterior cruciate ligament（ACL） reconstruction and the sensory disturbance around the surgical incision of the leg.Methods From Oct 2007 to Jun 2008,223 patients underwent arthroscopy ACL reconstruction,among them 50 patients were followed-up and defined as four groups according to different types of skin incision.The area of skin sensory disturbance around the incision were measured and compared.Results Compared with transversal incision group（transversal incision for double bundle ACL reconstruction）,vertical incision group（using hamstring or Bone-Patella-Bone autograft for ACL reconstruction） and posteromedial incision group（medial meniscus repair group）t,he length of incision in small incision group（using allograft for ACL reconstruction）was significant shorter（P 0.001）.For the area of sensory disturbancet,here were no statistics differences between small incision group and transversal incision group（P=0.800）,and no statistics differences between vertical incision group and posteromedial incision group（P =0.316）.But both small incision group and transversal incision group showed significantly smaller（P 0.05） area of sensory disturbance than vertical incision group and posteromedial incision group.Conclusion For ACL reconstruction,using small incision（allograft）and transversal incision could decrease the area of sensory disturbance of anterior tibial skin.