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摘要 目的 探讨关节镜下保留残端单束重建后交叉韧带(posterior cruciate ligament,PCL)的技术并观察其疗效。方法 回顾性分析2014年1月至2015年6月25例PCL损伤患者在我科行关节镜下保留残端单束重建PCL,其中男14例,女11例;年龄20~58岁,平均(41.9±12.4)岁。伤后至手术时间1周~6个月,平均6周。运动伤8例,交通事故伤10例,其它损伤7例。其中合并半月板损伤7例,合并关节内软骨损伤5例。手术前后采用Lysholm膝关节功能评分、国际膝关节文献委员会(international knee documentation committee,IKDC)评分及Tegner运动功能评分进行评价,术后6个月左右行患膝磁共振检查。结果 术后随访6~24个月,平均(15±4.76)个月。患者术后早期未发生严重并发症。患者膝关节Lysholm评分术前(57.2±5.5)分,术后(89.3±4.2)分;IKDC评分术前(51.1±6.7)分,术后(88.3±6.2)分;Tegner运动功能评分术前(2.5±0.8)分,术后(5.8±1.3)分,手术前后差异均有统计学意义。结论 关节镜下保留残端单束重建PCL是一种有效可行的手术方法,术后临床效果良好,功能满意。
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关键词 :
关节镜,
重建,
后交叉韧带,
疗效
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基金资助:安徽省科技攻关计划项目(No 1501041145) |
通讯作者:
徐斌
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作者简介: 路松(1991- ),男,研究生在读,安徽医科大学第一附属医院运动创伤与关节镜外科,230032。 |
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