膝关节镜下自体胭绳肌腱移植重建前十字韧带部分束损伤

Arthroscopic treatment for anterior cruciate ligament with harmstring autograft transplant

目的探讨关节镜下自体腘绳肌腱单束移植重建前十字韧带(anterior cruciate ligament,ACL)部分束损伤的临床效果。方法 2007年1月至2010年5月关节镜下行自体腘绳肌单束重建ACL部分束损伤16例。术前Lysholm评分平均为55.4±6.7分。结果全部获得随访,随访时间为12～23个月,平均18±4.3个月。术后Lysholm评分增至平均89.3±3.3分,有统计学差异(P<0.05)。所有患者主观症状均消失,全部恢复正常工作与体育锻炼。结论应用自体腘绳肌腱重建ACL部分束损伤明显改善膝关节功能。

Objective To observe the clinical outcome of arthroscopic anterior cruciate ligament （ACL） partial bundle reconstruction with harmstring autograft tendon. Methods Sixteen patients underwent reconstruction arthroscopic ACL partial bundle reconstruction with harmstring autograft tendon from January 2007 to May 2010. Results All the patients were followed up, and the duration ranged from 12 to 23 months （average 18 ± 4. 3 months）. The preoperative subjective symptoms disappeared in all patients. Lysholm scores increased from preoperatively 55.4 ± 6. 7 to 89. 3 ± 3.3 post- operatively （ P 〈 0.05 ）. All patients returned to normal work and physical exercise. Conclusion ACL partial bundle reconstruction with harmstring autograft tendon can significantly improve the function of postoperative knees.