自体同侧半腱肌肌腱-可调节袢环钛板全内技术重建前交叉韧带的临床效果

Clinical Effect of Autologous Ipsilateral Semitendinous Muscle Tendon-adjustable Loop Titanium Plate All-inside Technique in the Reconstruction of Anterior Cruciate Ligament

目的:分析单根自体同侧半腱肌肌腱-可调节袢环钛板全内技术重建前交叉韧带(ACL)的临床效果。方法:选取2021年1月—2023年1月恩施慧宜中西医结合风湿医院收治的80例ACL断裂患者,按照治疗方案不同分为对照组和观察组,各40例。对照组给予股薄肌、半腱肌肌腱重建ACL治疗,观察组给予自体同侧半腱肌肌腱-可调节袢环钛板全内技术重建ACL治疗,观察两组膝关节功能、疼痛情况、术后并发症。结果:术后6个月,两组国际膝关节文献委员会(IKDC)评分、Lysholm评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。术后3个月、6个月,两组膝关节视觉模拟评分法(VAS)评分低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为5.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论:自体同侧半腱肌肌腱-可调节袢环钛板全内技术重建ACL能够有效改善ACL断裂患者的膝关节功能,缓解膝关节疼痛,且能够减少并发症的发生。

Objective:To analyze the clinical effect of autologous ipsilateral semitendinous muscle tendon-adjustable loop titanium plate all-inside technique in the reconstruction of anterior cruciate ligament(ACL).Method:A total of 80 patients with ACL rupture admitted to Enshi Huiyi Integrated Traditional Chinese and Western Medicine Rheumatology Hospital from January 2021 to January 2023 were selected and divided into control group and observation group according to different treatment plans,with 40 cases in each group.The control group was treated with tendon reconstruction ACL of femoris and semitendinosus muscle,and the observation group was treated with autologous ipsilateral semitendinous muscle tendon-adjustable loop titanium plate all-inside technique in the reconstruction of ACL.Knee function,pain and postoperative complications were observed in both groups.Result:At 6 months after surgery,International Knee Joint Literature Committee(IKDC)score and Lysholm score of two groups were higher than those before surgery,and which in observation group were higher than those in control group,the differences were statistically significant(P<0.05).At 3 months and 6 months after surgery,the knee visual analogue scale(VAS)scores of the two groups were lower than that before surgery,and which in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 5.00%,which was lower than 20.00% in the control group,and the difference was statistically significant(P<0.05).Conclusion:Autologous ipsilateral semitendinous muscle tendon-adjustable loop titanium plate allinside technique in the reconstruction of ACL can effectively improve the knee function of patients with ACL rupture,relieve knee pain,and reduce the occurrence of complications.