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摘要 目的 对比分析一期和分期韧带重建治疗Schenck KD Ⅲ M型膝关节多发韧带损伤的临床疗效。方法 回顾性分析2013年1月至2019年10月我院诊治的32例Schenck KDⅢM型多发韧带损伤患者资料,其中一期修复重建所有韧带者21例(一期组),分期修复重建韧带者11例(分期组)。一期组21例,男11例,女10例;年龄21~64岁,平均(43.70±2.13)岁;右膝10例,左膝11例。分期组11例,男6例,女5例;年龄33~69岁,平均(45.70±1.68)岁;右膝5例,左膝6例。比较两组的住院费用、康复时间、手术前后疼痛视觉模拟评分(visual analogue scale,VAS)、膝关节活动度、国际膝关节文献委员会(international knee documentation committee,IKDC)评分、Lysholm评分、膝关节稳定性并记录并发症发生情况。结果 随访时间12~48 个月,平均(28.10±2.15)个月。两组平均住院费用与整体治疗所需平均康复时间比较差异均有统计学意义(P<0.05)。两组术后VAS评分较术前均显著降低,术后膝关节活动度较术前均显著升高,差异有统计学意义(P<0.05);两组间的术后VAS评分和膝关节活动度比较差异无统计学意义(P>0.05)。两组术后IKDC和Lysholm评分较术前均显著升高,差异有统计学意义(P<0.05);两组间的术后IKDC和Lysholm评分比较差异无统计学意义(P>0.05)。两组患者的膝关节稳定性与术后并发症比较差异均无统计学意义(P>0.05)。结论 对于Schenck KDⅢM型膝关节多发韧带损伤的治疗,采取一期和分期修复重建均为安全、有效的方法,但一期重建患者费用更少,康复时间更短。
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关键词 :
前交叉韧带,
后交叉韧带,
内侧副韧带,
韧带重建
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作者简介: 钱利海(1977— ),男,主治医师,安徽省芜湖市中医院骨科,241000。 |
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