自体同侧腓骨长肌腱和腘绳肌腱重建后交叉韧带的效果分析

Effect comparison of reconstruction of posterior cruciate ligament with autologous ipsilateral peroneus longus tendon and hamstring tendon autograft

目的在后交叉韧带断裂患者中采用自体同侧腓骨长肌腱(PLT)重建,并与腘绳肌腱(HT)重建比较,分析其安全性与有效性。方法回顾性分析收治的后交叉韧带断裂行重建手术患者,根据取材不同分为PLT组(22例,采用自体同侧腓骨长肌腱重建)和HT组(20例,采用自体腘绳肌腱重建)。观察指标包括围手术期情况、随访期指标及影像学评估。结果两组患者的各项围手术期指标差异均无统计学意义;PLT组患者的不良反应发生率明显小于HT组。末次随访时,PLT组患者的膝关节评分和影像学指标明显优于HT组。结论在后交叉韧带损伤重建的患者中应用自体同侧腓骨长肌腱治疗可高效恢复膝关节功能、缓解疼痛症状和促进关节活动,并规避手术创伤对康复的影响。

Objective To use autologous ipsilateral peroneus longus tendon(PLT)reconstruction in patients with posterior cruciate ligament rupture,and compare with hamstring tendon(HT)reconstruction to analyze their safety and effectiveness.Methods A retrospective analysis was conducted on patients with posterior cruciate ligament rupture admitted to our hospital.The PLT group received autologous ipsilateral PLT reconstruction(22 cases),while the HT group received autologous HT reconstruction(20 cases).Observation indicators included perioperative conditions,follow-up indicators,and imaging evaluation.Results There were no statistically significant differences in selected perioperative indicators between the two groups of patients.The incidence of adverse reactions in the PLT group was significantly lower than that in the HT group.At the last follow-up,the knee joint score and imaging indicators of the PLT group were significantly better than those of the HT group.Conclusion The application of autologous ipsilateral PLT therapy in patients with posterior cruciate ligament injury reconstruction can efficiently restore knee joint function,alleviate pain symptoms,promote joint activity,and avoid the impact of surgical trauma on rehabilitation.