【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。更多还原

【Abstract】 In oder to make full and effective use of patellar tendon (middle　onethird) during reconstruction of anterior cruciate ligament,we　designed bonepatellar tendontendon of quadriceps femoris free graft　with impacting bone technique and 38 cases were treated by this method.Followup for 2 years and 7 months showed that the clinical results were good.The　exellent and good rate was 897%.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.更多还原