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骨-髌腱-髌前骨膜-股四头肌腱条骨块嵌入法重建前交叉韧带
Reconstruction of anterior cruciate ligament using bonepatellar tendonprepatellar periosteum free graft with impacting bone technique
【摘要】 为充分有效利用髌腱(中1/3)组织重建前交叉韧带(ACL),确保移植关节内段均为髌腱组织,增加移植物的有效长度,同时在关节外矫正前内旋不稳及改进移植物的固定方法,作者设计应用骨-髌腱-髌前骨膜-股四头肌腱条游离移植骨块嵌入法重建ACL38例。术后经平均2年7个月随访,效果良好,优良率89.7%。结果表明,该方法固定牢靠,关节内段移植物均为髌腱组织。移植物有足够的长度可供在关节外矫正前内旋不稳。作者还介绍了急性ACL损伤和ACL损伤合并半月板损伤治疗的经验。
【Abstract】 In oder to make full and effective use of patellar tendon (middle onethird) during reconstruction of anterior cruciate ligament,we designed bonepatellar tendontendon of quadriceps femoris free graft with impacting bone technique and 38 cases were treated by this method.Followup for 2 years and 7 months showed that the clinical results were good.The exellent and good rate was 897%.Clinical results indicated that the fixation of this reconstructive method was firm and grafts in the joint cavity were patellar tendon tissue. The anterior medial rotatory instability of the knee joint could be corrected with the same graft that have enough length.The experience of acute rupture of anterior cruciate ligament and the rupture of anterior cruciate ligament combined with injury of meniscus were reported.
- 【文献出处】 中华外科杂志 ,Chiese Journal of Surgery , 编辑部邮箱 ,1997年12期
- 【分类号】R687.4
- 【被引频次】44
- 【下载频次】117