经骺板重建术治疗骨骺未闭青少年前交叉韧带损伤的疗效观察

Transphyseal reconstruction of anterior cruciate ligament in adolescents with unclosed epiphyseal plate

目的:探讨完全经骺板重建术治疗骨骺未闭的青少年膝关节前交叉韧带(ACL)损伤的疗效和安全性。方法:选取2012年5月至2015年8月广西医科大学第一附属医院收治的19例青少年膝关节ACL损伤患者,在关节镜下取自体腘绳肌腱,完全经骺板重建ACL,术后常规护理,指导患者进行规则的康复锻炼。结果:随访平均32.5个月(16~48个月)。术后膝关节功能Lysholm评分明显高于术前(P<0.001)。术后膝关节活动度明显优于术前(P<0.001)。所有患者膝关节稳定,无骺板生长停滞、膝关节畸形及双下肢不等长者。结论:完全经骺板重建术治疗骨骺未完全闭合的青少年膝关节ACL损伤,疗效好,并发症少,是一种安全、可行的手术方式。

Objective：To explore the clinical outcome of transphyseal reconstruction of anterior cruciate ligament （ACL） in adolescent. Methods. 19 cases of ACL injury adolescent patients in our hospital from May 2012 to August 2015 were included in the study. Transphyseal ACL reconstruction with autologous hamstrings and routine postoperative care were performed in all patients. Regularly rehabilitation exercise was conducted under guidance. Results： The average followed-up time was 32.5 months （16-48 months）. The Lysholm knee function scores were increased after surgery （ P 〈0.001）. All cases achieved favorable range of motion, knee stability and knee function after surgery. No leg length discrepancy and axis malalignment were observed. Conclusion： Transphyseal reconstruction of ACL was a feasible surgical approach in treating ACL injured adolescents patients with unclosed epiphyseal plates.