前交叉韧带保留残端重建术治疗前交叉韧带损伤的研究

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Abstract Objective To analyze the short-term follow-up of patients with anterior cruciate ligament injury under arthroscopic anterior cruciate ligament stump preservation reconstruction.Methods Eighty patients with anterior cruciate ligament injury treated in our hospital from March 2015 to January 2017 were selected.A simple randomized grouping method was used to assign eligible patients according to the ratio of 1︰1.Those with random numbers ranging from 1 to 40 were the observation group，and those with 41 to 80 were the control group.The control group (40 cases)underwent traditional standard anterior cruciate ligament reconstruction，including 27 males and 13 females；aged 20 to 56 years，with an average(37.73±8.79)years of age.The observation group(40 cases)underwent arthroscopic anterior cruciate ligament retention stump reconstruction，including 24 males and 16 females；aged 21 to 55 years，with an average(38.11±8.46)years of age.The Lysholm knee joint score，the international knee documentation committee (IKDC)score，the passive knee regeneration test results of the affected side，the passive activity detection threshold，The rate of secondary arthroscopy and the synovial coverage of the patients examined.Results The Lysholm score and IKDC score of the observation group at 3 months and 6 months after operation were higher than those of the control group (P＜0.05).The passive angle regeneration test of the affected knee joint at 3 months and 6 months after the observation group was performed.The results were lower than the control group (P＜0.05)；The observation threshold of passive motion of the affected knee joint in the observation group at 3 months and 6 months after operation was lower than that in the control group (P＜0.05)；There was no significant difference in the rate of secondary arthroscopy in the observation group at 20.00% compared with 25.00% in the control group (P＞0.05)；There was no significant difference in the distribution of synovial coverage between the two groups of patients (P＞0.05).Conclusion Arthroscopic anterior cruciate ligament retention and stump reconstruction can treat tendon bone healing，In addition，the residual tendon cuff-like wrap wrapped tendon can increase the stability of the knee joint and improve the knee function and proprioception of patients in the early postoperative period，which has certain application value.

Key words： arthroscopy anterior cruciate ligament injury stump reconstruction knee joint lysholm stability

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	Li Lei
	Wu Hao *

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Li Lei,Wu Hao *. Anterior Cruciate Cruciate Ligament Retention and Stump Reconstruction Surgery for Anterior Cruciate Ligament Injury[J]. sygkzz, 2019, 25(12): 1067-1072.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I12/1067

［1］侯永新，李斌.关节镜下治疗前交叉韧带合并半月板损伤的疗效分析［J］.实用骨科杂志，2019，25(9)：858-859；864.
［2］Papalia R，Franceschi F，Vasta S，et al.Sparing the anterior cruciate ligament remnant：is it worth the hassle［J］.Br Med Bull，2018，104(1)：91-111.
［3］黄乐春，胡惠民，梁宇翔.膝关节功能评分量表评述［J］.中国医药科学，2016，6(13)：50-53.
［4］张合，韩守江，王斌，等.关节镜下应用Rigidfix和Intrafix单束重建后交叉韧带临床疗效观察［J］.河北医科大学学报，2016，37(11)：1264-1269.
［5］陈辉海，王弘，郭哲，等.前交叉韧带自体腘绳肌腱移植单束重建：患膝关节功能及稳定性1年随访［J］.中国组织工程研究，2015，19(2)：246-251.
［6］蒙延雄，米琨，俸志斌，等.关节镜下保留残端腓骨长肌腱重建后交叉韧带［J］.中华中医药杂志，2016，31(3)：1092-1094.
［7］黄媛霞，段永壮，陶金刚，等.关节镜下保留残端与非保残重建前交叉韧带的疗效比较［J］.中国临床解剖学杂志，2017，35(5)：564-566.
［8］Okoroha KR，Keller RA，Marshall NE，et al.Patientperceptions of reimbursement for arthroscopic meniscectomy and anterior cruciate ligament reconstruction［J］.Orthopedics，2016，39(5)：e904-910.
［9］杨勇，徐红革，邱志杰，等.关节镜下保留与清除断裂前交叉韧带残端重建术后疗效比较［J］.蚌埠医学院学报，2016，41(8)：1017-1020.
［10］Kuo LT，Yu PA，Chen CL，et al.Tourniquet use in arthroscopic anterior cruciate ligament reconstruction：a systematic review and meta-analysis of randomised controlled trials［J］.Bmc Musculoskelet Disord，2017，18(1)：358.
［11］张振君，贺明，白伦浩.关节镜下异体腘绳肌腱保留残端重建前交叉韧带的近期疗效［J］.中国骨与关节杂志，2017，6(9)：31-34.
［12］孙毅.关节镜下前交叉韧带重建保留与不保留胫骨残端的Meta分析［J］.中国运动医学杂志，2016，35(1)：87-93.
［13］Rezazadeh S，Ettehadi H，Vosoughi AR.Outcome of arthroscopic single-bundle anterior cruciate ligament reconstruction：anteromedial portal technique versus transtibial drilling technique［J］.Musculoskelet Surgery，2016，100(1)：37-41.
［14］Witonski D，Keska R，Cyranowski R，et al.Arthroscopically assisted anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft without wound drainage：short-to middle-term outcome［J］.WideochirInne Tech Maloinwazyjne，2016，11(2)：76-82.
［15］Tufts LS，Shet K，Liang F，et al.Quantification of bone marrow water and lipid composition in anterior cruciate ligament-injured and osteoarthritic knees using three-dimensional magnetic resonance spectroscopic imaging［J］.Magn Reson Imaging，2016，34(5)：632-637.
［16］Yang G，Wang Z，Wen X，et al.The relationship between the midpoints connecting the tibial attachments of the anterior and posterior cruciate ligaments and the transepicondylaraxis：In vivo three-dimensional measurement in the Chinese population［J］.Knee，2016，23(5)：777-784.
［17］张德新，陈德生，马丽艳，等.关节镜下应用自体腘绳肌腱保留残端解剖重建前交叉韧带的疗效［J］.中国煤炭工业医学杂志，2016，19(8)：1116-1120.
［18］张磊，孙荣鑫，王少军，等.保留残端重建兔前交叉韧带术对其胫骨骨道扩大的预防作用［J］.山东医药，2016，56(37)：25-27.
［19］Panigrahi R，Kumari Mahapatra A，Priyadarshi A，et al.Outcome of simultaneous arthroscopic anterior cruciate ligament and posterior cruciate ligament reconstructionwith hamstring tendon autograft：amulticenter prospective study［J］.Asian J Sports Med，2016，7(1)：e29287.
［20］Rose M，Crawford D.Technique for arthroscopic-assisted primary anterior cruciate ligament reconstruction using doubled tibialisanterior tendon［J］.Arthrosc Tech，2017，6(1)：e87-e92.
［21］Liu A，Xue GH，Sun M，et al.3D printing surgical implants at the clinic：aexperimental study on anterior cruciate ligament reconstruction［J］.Sci Rep，2016，6(57)：21704.
［22］胡喜春，黄长明，范华强，等.关节镜下前交叉韧带重建中保留残端对膝关节功能及本体感觉恢复的影响研究［J］.现代生物医学进展，2017，17(26)：72-75；105.
［23］王晓玲，王芗斌，刘巧灵，等.老年膝骨关节炎患者膝关节本体感觉与疼痛和功能的相关性［J］.中国老年学杂志，2017，37(11)：2761-2763.
［24］Walczak BE，Lukes C，Amendola N，et al.Limited evidence that the presence of a bone bruise alone affects the clinical outcome of surgically reconstructed anterior cruciate ligaments：a systematic review［J］.J Isakos，2017，2(4)：186-190.
［25］Kowalski TJ，Leong NL，Dar A，et al.Hypoxic culture conditions induce increased metabolic rate and collagen gene expression in ACL-derived cells［J］.J Orthop Res，2016，34(6)：985-994.
［26］左金增，史福东.关节镜下腓骨长肌腱保留残端重建前交叉韧带的临床研究［J］.中国医药，2016，11(10)：1530.
［27］罗程，蔡贤华，魏世隽，等.关节镜下保留残端与非保留残端重建前交叉韧带的临床疗效分析［J］.创伤外科杂志，2017，19(4)：262-265.
［28］Kim BH，Kim JI，Lee O，et al.Preservation of remnant with poor synovial coverage has no beneficial effect over remnant sacrifice in anterior cruciate ligament reconstruction［J］.Knee Surg Sports Traumatol Arthrosc，2017，26(8)：2345-2352.
［29］谢国明，董士奎，皇甫小桥，等.保留胫骨残端重建前交叉韧带对韧带重塑相关基因表达的影响［J］.中国修复重建外科杂志，2016，30(1)：15-20.
［30］张太良，张磊，廉志明，等.关节镜下前交叉韧带重建保留残端与否干预膝关节本体感觉功能恢复的Meta分析［J］.中国组织工程研究，2017，21(3)：471-477.
［31］Guo L，Chen H，Luo JM，et al.Anarthroscopic second-look study on the effect of remnant preservation on synovialization of bone-patellar tendon-bone allograft in anterior cruciate ligament reconstruction［J］.Arthroscopy，2016，32(5)：868-877.
［32］Kanamura H，Arai Y，Hara K，et al.Quantitative evaluation of revascularization at bone tunnels and grafts with contrast-enhanced magnetic resonance angiography after anterior cruciate ligament reconstruction［J］.Int Orthop，2016，40(7)：1531-1536.