关节镜下异体韧带移植重建断裂前交叉韧带10例(英文)

Arthroscopically assisted allograft reconstruction of anterior cruciate ligament rupture: A primary report of ten cases

目的 回顾性总结采用异体韧带重建膝关节前交叉韧带的临床初步疗效 .方法 对 10例采用关节镜技术移植异体韧带重建损伤前交叉韧带进行了 5～ 11mo,平均 8mo的随访评估 .结果 所有患者症状均有缓解 ,关节稳定性恢复 ,取得了满意的临床疗效 .临床观察免疫排斥反应轻微甚至无法觉察 .部分移植韧带 ,特别是在术后 6 mo,逐渐略有松弛 ,但并未影响近期疗效 .结论 异体韧带移植是一种可行的重建损伤前交叉韧带的一种选择 。

AIM To evaluate the early result of allograft reconstruction of anterior cruciate ligament for ACL deficiency knee. METHODS Ten cases of ACL reconstruction operated upon with allografts assisted with arthroscopic technique were followed up for 5 to 11 mo, mean 8 mo. RESULTS All patients had a quite satisfactory result with relief of symptoms and restoration of knee stability, immunologic rejective reaction was minimal, even invisible, but some grafts were gradually becoming a little laxity, particularly when 6 months postoperation, whereas it has not affected the primary results. All of them have gone back to their preinjury job. CONCLUSION Allograft is one of acceptable alternatives of reconstruction of torn ACL, but the long term results still needs a further observation.