【摘要】 目的　探讨自体中 1/ 3骨 -髌腱 -骨 (B- PT- B)重建前交叉韧带 (ACL)的临床效果。　方法　 1996年9月～ 2 0 0 0年 10月对 13例膝 ACL损伤 ,其中男 9例 ,女 4例 ,年龄 2 3～ 4 5岁。均采用关节镜下自体中 1/ 3B- PT- B重建ACL ,挤压螺钉固定 ,治疗 ACL损伤后关节不稳。术前抽屉试验 13例均为阳性 ,轴移试验 4例阳性 ,L achman试验 7例阳性 ,术后获随访 5～ 2 5个月 ,平均 15个月。　结果　术后抽屉试验、轴移试验和 L achman试验均转阴性。按照 Boszotta的术后临床指标评价方法 ,优 9例 ,良 3例 ,可 1例。所有患者均感膝关节稳定性明显改善。　结论　关节镜下自体中 1/ 3B- PT- B重建 ACL 损伤疗效显著。更多还原

【Abstract】 Objective To investigate the clinical effect of reconstructing anterior cruciate ligament by using a bone patellar tendon bone autograft under arthroscopy. Methods Among 13 patients with anterior cruciate ligament injury, there were 9 males and 4 females(aged 23 45). Their anterior cruciate were reconstructed by applying the mid one third autologous bone patellar tendon bone strip in press fit technique under arthroscopy. The result was positive in 13 cases in anterior drawer test, in 4 cases in pivot shift test and in 7 cases in Lachman’s test preoperatively. Results The follow up period was 5 25 months averaged 15 months. The results of the above tests were negative in all the patients. According to Boszotta’s evaluation quota, the results were excellent in 9 cases, good in 3 cases and fair in 1 case. The knee stability improved obviously in all patients. Conclusion Anterior cruciate ligament injury can be treated by arthroscopic reconstruction with autologous bone patellar tendon bone strip and the clinical result of short term followup is satisfactory .更多还原