ACL重建、半腱肌转位悬吊治疗急性ACL合并MCL损伤疗效分析

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Abstract Objective To explore the early optimal surgical procedure for injuries of anterior cruciate ligament (ACL) and medial collateral ligament (MCL).Methods In this perspective study，45 patients with ACL and MCL rupture admitted to our hospital from Janurary 2013 to Janurary 2018 were divided into two groups according to the order of admission.21 patients underwent ACL construction combined with suspension of transposable semitendinosus surgery in group A.24 patients underwent ACL reconstruction combined with suture anchor surgery in group B.In group A，there were 17 males and 4 females.The average age was (32.4±15.6)years，ranging from 20 to 55 years.In the B group，there were 18 males and 6 females.The average age was (31.6±16.3)years，ranging from 18 to 52 years.Patients were assessed in 3 months，6 months，12 months and 24months after surgery，and the knee medial joint space width，the Lysholm knee function score and the international knee documentation committee knee evaluation form (IKDC) score were recorded.Results 40 patients were analyzed at last，including 18 patients in group A，22 patients in group B.All the patients were followed up for 24 to 32 months，with an average of (27.6±4.3) months. Before operation，the knee medial joint space width，the Lysholm score and the IKDC score were (10.3±2.2) mm，(35.5±3.7)，(35.8±4.3) in group A and (10.8±1.4) mm，(34.4±2.7)，(39.5±6.4) in group B.After 24 months，the knee medial joint space width，the Lysholm score and the IKDC score of the group A were，(3.5±0.2) mm，(91.6±2.1)，(83.0±3.4)，and were (1.9±0.1) mm，(93.9±1.3)，(85.0±3.6) in group B.The levels of the medial joint space width，Lysholm scores，and IKDC scores were significantly improved compared with those before operation (P＜0.05)，however，and the width of postoperative medial space in group A was significantly greater than that in group B (P＜0.05)，however there was no statistically significant difference between the two groups in the remaining indicators of the same period.Conclusion For patients with ACL and MCL rupture，the ACL reconstruction combined with suspension of transposable semitendinosus operation has less trauma，simple operation，good knee stability and functiong scroes.

Key words： anterior cruciate ligament medial collateral ligament semitendinosus surgical effect

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[1]	. [J]. sygkzz, 2021, 27(6): 557-559.