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[1]林 偉,余光書,邱俊欽,等.關(guān)節(jié)鏡下脛前肌腱單束與雙束重建后交叉韌帶的臨床效果比較[J].福建醫(yī)藥雜志,2021,43(02):100-103.
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關(guān)節(jié)鏡下脛前肌腱單束與雙束重建后交叉韌帶的臨床效果比較()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期數(shù):
2021年02期
頁(yè)碼:
100-103
欄目:
臨床研究
出版日期:
2021-04-15

文章信息/Info

文章編號(hào):
1002-2600(2021)02-0100-04
作者:
林 偉余光書邱俊欽肖展豪1林 任張雨婷
廈門大學(xué)附屬福州第二醫(yī)院運(yùn)動(dòng)損傷科(福州 350007)
關(guān)鍵詞:
后交叉韌帶 單束重建術(shù) 雙束重建術(shù) 脛骨前外側(cè)隧道 關(guān)節(jié)鏡
分類號(hào):
R681
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 比較關(guān)節(jié)鏡下脛前肌腱單束重建與雙束重建后交叉韌帶的臨床效果。方法 選擇我院后交叉韌帶損傷患者41例,回顧性分析經(jīng)脛骨前外側(cè)隧道單束重建后交叉韌帶手術(shù)與經(jīng)脛骨前外、前內(nèi)側(cè)隧道雙束重建后交叉韌帶手術(shù)的臨床資料,比較兩組手術(shù)時(shí)間,手術(shù)并發(fā)癥,術(shù)前、術(shù)后6個(gè)月隨訪時(shí)的膝關(guān)節(jié)活動(dòng)度(ROM)、Lysholm評(píng)分,并用Kneelax 3評(píng)估膝關(guān)節(jié)屈曲30°和90°時(shí)的穩(wěn)定性。結(jié)果 單束重建組的平均手術(shù)時(shí)間明顯短于雙束重建組(t=9.774 P=0.000); 單束重建組與雙束重建組都沒(méi)有出現(xiàn)感染、神經(jīng)血管損傷等并發(fā)癥。單束重建組與雙束重建組的膝關(guān)節(jié)活動(dòng)度變化(t=0.073,P=0.943)、Lysholm評(píng)分變化(t=0.738,P=0.470)、屈膝30°時(shí)脛骨后移情況(t=1.035,P=0.314)及屈膝90°時(shí)脛骨后移情況(t=1.256,P=0.225)比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。結(jié)論 脛骨前外側(cè)隧道單束重建后交叉韌帶手術(shù)與經(jīng)脛骨前外、前內(nèi)隧道雙束重建后交叉韌帶手術(shù)均能提高術(shù)后中期的膝關(guān)節(jié)功能及穩(wěn)定性,但脛骨前外側(cè)隧道單束重建比雙束重建組的手術(shù)時(shí)間更短。

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更新日期/Last Update: 2021-04-15