自体骨-髌韧带-骨重建后交叉韧带

Posterior cruciate ligament reconstruction using bone-patellar tendon-bone autograft

目的 :评价自体骨 -髌韧带 -骨重建后交叉韧带的效果 ,为临床治疗提供借鉴。方法 :对 44例患者进行问卷调查 ,比较其术前、术后的Lysholm评分 ,疼痛、关节稳定性、跛行等的改善。结果 :共随访到 3 1例患者 ,随访率为 84%,随访时间平均为 4年。Lyshoim评分由术前 [5 9.4± 15 .9(18～ 79) ]分提高到末次随访时的 [92 .2±7.4(62～ 10 0 ) ]分。所有患者都较术前有改善 ,平均提高 [3 2 .8(2l～ 5 2 ) ]分。结论 :对年轻、活动量大、有症状的单纯后交叉韧带损伤患者及复合损伤患者应积极手术治疗。

Objective:To evaluate the results of posterior cruciate ligament(PCL) reconstruction using bone-patellar tendon-bone autograft and to provide a consensus regarding treatment of PCL injuries.Method: Forty-four patients were followed up by questionnaires to determine significant differences between preoperative and follow-up data.Result:Thirty-one patients were followed (follow-up rate was 84%).At an average 4 years' follow-up,the mean Lysholm scores improved from[ 59.44± 15.9 (18～79) points] preoperatively to[92.2±7.4(62～100) points]. All knees had an improvement [mean,32.8(21～52) points].Conclusion: For the young active patients with isolated injuries to the PCL and patients with injuries to the PCL combined with injuries to other capsuloligamentous structure,early reconstruction should be given.Subjectively,surgery is an ideal choice.