关节镜下LARS韧带与自体绳肌重建对前交叉韧带的早期疗效比较

Arthroscopic Comparison of the Early Efficacy of LARS Ligament and Autologous Hamstring Reconstruction on Anterior Cruciate Ligament

目的比较关节镜下LARS人工韧带与自体腘绳肌重建对前交叉韧带的早期临床疗效。方法回顾性分析2017年8月~2018年10月我院确诊的40例前交叉韧带断裂患者,根据移植物不同分为试验组(21例)和对照组(19例)。试验组应用LARS韧带重建前交叉韧带,对照组应用自体腘绳肌重建前交叉韧带,比较两组Lysholm、IKDC、Tegner评分及术后并发症发生情况。结果术后3、6个月,两组Lysholm、IKDC、Tegner评分高于术前,且试验组高于对照组,差异有统计学意义(P<0.05)。试验组术后并发症发生率为10.53%,低于对照组的47.62%,差异有统计学意义(P<0.05)。结论关节镜下LARS人工韧带较自体腘绳肌重建对前交叉韧带创伤小,术后并发症发生率低,能够有效恢复膝关节的功能,具有较好的早期临床疗效。

Objective To compare the early clinical effect of LARS artificial ligament reconstruction and autologous hamstring reconstruction on anterior cruciate ligament.Methods A retrospective analysis of 40 patients with anterior cruciate ligament rupture diagnosed in our hospital from August 2017 to October 2018 was divided into a test group(21 cases)and a control group(19 cases)according to the graft.The experimental group used the LARS ligament to reconstruct the anterior cruciate ligament,and the control group used autologous hamstring muscle to reconstruct the anterior cruciate ligament.The Lysholm,IKDC,Tegner scores and postoperative complications were compared between the two groups.Results At 3 and 6 months after surgery,the Lysholm,IKDC,and Tegner scores of the two groups were higher than those before the operation,and the Lysholm,IKDC,and Tegner scores of the experimental group were higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications in the test group was 10.53%,lower than that in the control group of 47.62%,the difference was statistically significant(P<0.05).Conclusion The arthroscopic LARS artificial ligament is less invasive to the anterior cruciate ligament than the autogenous hamstring reconstruction,and the postoperative complication rate is low.It can effectively restore the function of the knee joint and has a good early clinical effect.