干旱区生态环境知识资源中心(Arid): 异体跟腱骨移植对后交叉韧带及后外侧结构损伤的联合重建

Arid

	异体跟腱骨移植对后交叉韧带及后外侧结构损伤的联合重建
其他题名	Synchronized reconstruction of posterior cruciate ligament-posterolateral corner injuries
	白希壮; 王慧声; 郭磊; 杨茂伟; 郜玉忠; 周波
ISSN	1001-8050
出版年	2006
卷号	22 期号:9 页码:647-651
中文摘要	目的介绍后交叉韧带(PCL)断裂伴有后外侧角(PLC)损伤单根异体跟腱骨移植同时进行重建的手术技术及经验.方法对12例PCL并PLC 3度以上慢性损伤不稳的膝关节,行关节镜下PCL全关节内重建,同期重建PLC.单束重建PCL的移植物在胫骨骨道和股骨内髁均以可吸收螺钉固定,采用改良Larson方法重建腓侧副韧带和腘腓韧带等结构.重建的韧带只需1根完整的异体跟腱骨做供体.平均手术时间130 min,其中PCL重建90 min,PLC重建40 min.支具固定6周以后可渐进负重行走.结果术后随访5～24个月,平均12个月,体检提示83%(10/12)膝关节恢复胫骨台阶;后抽屉试验0～1+75%(9/12).Dial sign测试外旋角正常为75%(8/12),30°内翻应力试验正常83%(10/12).Lysholm,Tegner和HSS膝关节评分分别为90.7,5.1和86.4(P＜0.01),优于术前.结论采用单根异体跟腱骨同期重建PCL和PLC可以获得满意的临床效果,减少了供体耗费,缩短了手术时间.
英文摘要	Objective To introduce llic technique anil experience in reconstruction of posterior cruciate ligamenl-poslcrolulerul corner (PCL-PLC) injuries with only one ullograi’t of Achilles tendon. Methods The inslahle knees in 12 oases with PCL injury combined with three degree chronic PLC injury were treated wilh PCL reconstruction under arthroseope and PLC reconstruction through posteroluteral arc incision. Single bundle grafts of PCL reconstructions in tibial and femoral tunnels were fixed by resorption screws. Fibular collateral ligament (FCL) and poplileofibular ligament ( PFL) were reconstructed wilh reforming Larsons method. All reconstruction grafts only needed one Achilles tendon as donator. Total operation time was 130 minutes including 90 minutes of PCL reconstruction and 40 minutes of PLC reconstruction. Gradual weight loading was allowed after six weeks of bracing. Results Follow-up for mean 12 months (5-24 months) indicated that libial "step off" reduction was 83% ( 10/12) and posterior drawer test of 0-1 + 75% (9/12). Dial sign evaluated that normal external rotation angle was 75% (8/12). Normal varus stress lest at 30°knee flexion accounted for 83% ( 10/12). Scores of Lysholm, Tegner and HSS were 90. 5 , 5. 1 and 84. 5 , respectively (P < 0. 01 = . Conclusion Synchronized reconstruction of PCL and PLC injuries with only one Achilles tendon can obtain satisfactory clinical result, with less expense and shorter operation time.
中文关键词	后交叉韧带 ; 跟腱 ; 跟骨 ; 移植,同种 ; 关节镜检查
英文关键词	Posterior cruciate ligament Achilles tendon Calcaneus Transplantation, homologous Artbroscopy
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:2432685
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/220538
作者单位	中国医科大学附属第一医院骨科, 沈阳, 辽宁 110001, 中国
推荐引用方式 GB/T 7714	白希壮,王慧声,郭磊,等. 异体跟腱骨移植对后交叉韧带及后外侧结构损伤的联合重建[J],2006,22(9):647-651.
APA	白希壮,王慧声,郭磊,杨茂伟,郜玉忠,&周波.(2006).异体跟腱骨移植对后交叉韧带及后外侧结构损伤的联合重建.,22(9),647-651.
MLA	白希壮,et al."异体跟腱骨移植对后交叉韧带及后外侧结构损伤的联合重建".22.9(2006):647-651.