关节镜治疗交叉韧带断裂16例疗效观察

目的:探讨关节镜下治疗膝关节前/后交叉韧带断裂的临床治疗效果。方法:2008年2月～2010年12月收治交叉韧带断裂患者16例,其中男12例,女4例,前交叉韧带断裂14例,后交叉韧带断裂1例,前后交叉韧带同时断裂1例,5例伴外侧半月板损伤,2例伴内侧半月板损伤,2例内外侧半月板同时损伤。本组患者均有明显外伤史。关节疼痛12例,行走不稳13例,关节交锁3例,不能慢跑14例,术前MRI检查均提示ACL/PCL断裂。治疗时间在伤后2～20周,采用关节镜下自体腘绳肌肌腱单束四股移植重建前后交叉韧带。术前Lysholm评分为46～62分,平均50分,详细记录术后1个月、6个月、1年、2年的患者状况。结果:术后均随访2～24个月,平均16个月,术前Lysholm评分平均50分,术后提高到92分,优良率达87.5%。结论:关节镜下治疗交叉韧带断裂,创伤小,疗效理想,稳定好,并发症少,早期功能训练预后效果理想。

Objective：To study the treatment arthroscopic knee after anterior/posterior eruciate ligament rupture of clinical treatment effect. Methods：To analyse from 2008 to 2010 December follow - up data whole 16 cases of patients,including cruciate ligament rupture male 12 cases, female 4 cases, anterior cruciate ligament rupture 14 cases, after eruciate ligament rupture, 1 case before and after the cruciate ligament while fracture, 5 patients with the lateral meniscus damage,2 cases with the medial meniscus damage, 2 cases within the lateral meniscus also damage. All of the patients are obviously injury history, clinical ：joint pain in 12 cases, walking instability 13 cases,joint hand in 3 cases, cant lock jogging 14 cases, preoperative MRI strongly suggest that ACL/PCL fracture. Time to treatment in injury after 2 - 20 weeks, using arthroscopic popliteal rope muscle tendon autograft single beam four shares graft reconstruction around cruciate ligament. Preoperative Lysholm score 46 62 points, average 50, detailed records postoperative afte month, 6 months, 1 year, 2 years of patient condition. Results ： After fol- low - up 2 - 24 months, averaging 16 months, preoperative Lysholm score averaged 50, and postoperative increased to 92, the better rate is87.5%. Conclusion ： Arthroscopic treatment cruciate ligament rupture, small trauma, curative effect is ideal, stable, fewer complications, early functional training prognosis results are ideal.