带血管蒂大收肌腱移位修复膝内侧副韧带断裂缺损

REPAIR OF MEDIAL COLLATERAL LIGAMENT DEFECT OF KNEE JOINT WITH TRANSPOSITION OF GREAT ADDUCTOR MUSCULAR TENDON PEDICLED VESSELS

目的 探讨带膝降血管蒂大收肌腱移位修复膝内侧副韧带断裂缺损的新术式及疗效。方法1991年 9月～ 1999年 9月 ,在解剖学研究的基础上 ,设计并应用带膝降血管蒂大收肌腱移位修复膝内侧副韧带断裂缺损 30例。结果 术后随访 1年 5个月～ 5年 ,按优、良、可、差四级评定 ,优良率达 93.3% ,无差级病例 ,疗效较满意。结论 大收肌腱与膝关节毗邻 ,与膝关节韧带形态相似 ,此术式是重建膝内侧副韧带断裂缺损的有效方法之一。

Objective To study the effect of transposition of great adductor muscular tendon pedicled vessels in repairing the medial collateral ligament defect of knee joint. Methods From September 1991 to September 1999, on the basis study of applied anatomy, 30 patients with the medial collateral ligament defect were repaired with great adductor muscular tendon transposition pedicled vessels. Among them, there were 28 males and 2 females, aged 26 years in average. Results Followed up for 17 to 60 months, 93 3% patients reached excellent or good grades. No case fell into the poor grade. Conclusion Because the great adductor muscular tendon is adjacent to the knee joint and similar to the knee ligament, it is appropriate to repair knee ligament. Transposition of the great adductor muscular tendon pedicled vessels is effective in the reconstruction of the medial collateral ligament defect of knee joint.