【摘要】 目的探讨膝关节镜下采用自体半腱肌和股薄肌联合腱重建前交叉韧带的方法和效果。方法采用关节镜下半腱肌和股薄肌联合腱方法治疗膝关节前交叉韧带断裂45例。手术采用腰麻或连续硬膜外麻醉,常规入路进入后行膝关节清理术,并植入半腱肌和股薄肌联合腱。术后指导患者行功能锻炼。采取IKDC(国际膝关节评分委员会)功能评分、Lysholm评分、Tegner评分标准对患者术前、术后6个月膝关节主观功能进行评分。结果 45例均获随访,随访时间3～12个月,平均10个月。患者术前、术后6个月IKDC、Lysholm、Teg-ner评分比较,差异均有统计学意义(P<0.05)。结论关节镜下自体半腱肌和股薄肌联合腱重建交叉韧带创伤小,疗效优良,稳定性好,并发症少。早期系统训练可改善预后。更多还原

【Abstract】 Objective To explore the methods and results of arthroscopic autogenous semi-tendinosus and gracilis tendon anterior cruciate ligament reconstruction c.Methods Arthroscopic semitendinosus and gracilis tendon methods of treatment of combined anterior cruciate ligament rupture in 45 cases.Surgery with spinal or epidural anesthesia with the conventional approach into underwent knee debridement and implantation of semitendinosus and gracilis tendon joint.Guiding function of pa-tients after exercise.To IKDC(International Knee Rating Board) scores,Lysholm score,Tegner score standards on patients before and after 6 months,the subjective knee function score.Results 45 pa-tients were followed up for 3 to 12 months,an average of 10 months.Patients before and after 6 months IKDC,Lysholm,Tegner score,the difference was significant(P <0.05).Conclusion Arthroscopic autogenous semitendinosus and gracilis tendon reconstruction of the joint ligament injury,good effica-cy,good stability and fewer complications.Early systems training can improve the prognosis.更多还原