关节镜内膝后交叉韧带重建术

Reconstruction of PCL in Arthroscopically Assisted

目的探讨关节镜内人工韧带重建后交叉韧带的应用和疗效。 方法 11例膝后交叉韧带断裂患者 ,在关节镜内行Gore-Tex人工韧带重建后交叉韧带 ,手术前后采用Lyshlom膝关节评分法比较。 结果平均随访时间 18个月 ,平均得分由术前 43分提高到术后 91分。 结论膝后交叉韧带断裂并发关节不稳定应该进行重建手术。人工韧带更符合后交叉韧带的功能要求 ,便于在关节镜内操作 ,创伤小 ,恢复快 ,近期疗效肯定。

Objective Discussion the clinical application and related results of artificial ligament in arthroscopically assisted reconstruction of posterior cruciate ligament (PCL). Methods Eleven selected patients suffering from the rupture of PCL were treated arthroscopically by using Gore-Tex artificial ligament. Clinical results, were carefully compared by using the Lysholm score system before and after the operation. Results Mean follow-up was 18 months. Mean score was improved from 43 preoperatively to 91 postoperatively. Conclusion Instable knee with the rupture of PCL should be treated operatively for the reconstruction. Artificial ligament is more ideal for functional requirements in PCL than in ACL reconstruction which is also with ease of operation under arthroscopy. This procedure is less invasive with rapid rehabilitation and is convinced of short-term clinical results.