保留止点半腱肌、股薄肌肌腱重建修复陈旧性髌韧带断裂2例报告

Two Cases Report:Reconstructing Neglected Patellar Tendon Rupture Using the Semitendinosus Tendon and Gracilis Tendon which Insertion are Reserved

目的探讨利用保留止点半腱肌、股薄肌肌腱重建修复陈旧性髌韧带断裂的的治疗方法和疗效。方法采用保留止点半腱肌、股薄肌腱横穿髌骨隧道后重叠缝合重建髌韧带并加用减张钢丝固定方法治疗2例陈旧性髌韧带断裂。结果2例患者均得到随访,分别随访18个月与24个月。术后2、3、6、12、18个月及2年分别对2例病人进行Lysho lm评分,术后1年平均分达到80分以上,显示治疗结果为优。结论对于陈旧性髌韧带断裂患者,取半腱肌及股薄肌对其加强重建辅以钢丝内固定手术为临床操作方便、疗效较为可靠的方法。

Objective To discuss the effects of the neglected patellar tendon rupture reconstructed with semitendinosus tendon and gracilis tendon which insertion are reserved. Methods Two cases of neglected patellar tendon rup ture are reconstructed with semitendinosus tendon and gracilis tendon which insertion is reserved, with the tendon crossing the patella tunnel ,overlapping suture with patellar tendon and fixed by Reducing Tension of wires. Results Two cases were followed up for 18 and 26 months. According to criteria of Lysholrn,two cases were scored 2,3,6,12, 18month and 2 years after operation. The result depicts,1 year after operation ,the average score is above 80 ,excellent in both cases. Conclusion For neglected patellar tendon rupture ,reconstruction by using the semitendinosus tendon and gracilis tendon which insertion is reserved with wires internal fixation is a convenient and effective method.