【摘要】 目的:探讨缝合锚钉治疗急性膝关节内侧副韧带止点损伤(Ⅲ度)的临床效果。方法:自2007年1月至2011年6月,对27例急性膝关节内侧副韧带Ⅲ度损伤患者采用缝合锚钉进行缝合固定,其中男15例,女12例;年龄19~56岁,平均32.6岁;受伤至手术时间3~10 d,平均6 d。观察对比治疗前后的症状、体征,采用Lysholm评分标准对其疗效进行评价。结果:所有患者获随访,时间16~30个月,平均21.6个月。所有患者膝关节稳定性好,术后关节功能明显改善,在伸直0°和屈曲30°时外翻应力试验阴性。全组平均屈膝术前(67.00±5.80)°,术后1年(136.50±6.30)°,术后1年高于术前。根据Lysholm评分标准,术前30~43分,平均36.46±1.48;术后1年87~100分,平均91.50±3.80;术后评分高于术前。本组优20例,良5例,中2例。结论:缝合锚钉治疗急性膝关节内侧副韧带Ⅲ度损伤疗效肯定,具有组织剥离范围小、操作简便、固定牢靠、并发症少等优势。更多还原

【Abstract】 Objective:To evaluate clinical efficacy of suture anchors in treating acute injuries of medial collateral ligament(MCL) of knee at degree Ⅲ. Methods:Twenty seven patients with degree Ⅲ acute MCL injuries of knee were treated with suture anchors from January 2007 to June 2011. There were 15 males and 12 females,aged from 19 to 56(averaged 32.6) years old. The time from injury to operation was 3 to 10 days,averaged 6 days. Symptoms and physical signs before and after treatment were observed,Lysholm scoring were used to evluated clinical efficacy. Results:All patients were followed up from 16 to 30 months with an average of 21.6 months. The stability of knee joints was good in all patients. Abduction stress test was negative when the knee joint was straightened at 0 ° and flexed at 30°. The average degree of flexed knee(67.00 ± 5.80)° preoperatively was lower than that of postoperatively(136.50± 6.30)° at 1 year. According to Lysholm scoring,preoperative scores ranged from 30 to 43 points,averaged 36.46 ±1.48;1 year after operation ranged from 87 to 100 with an average of 91.50±3.80 and higher than postoperative. Twenty patients got an excellent results,5 good and 2 fair. Conclusion:Suture anchors in treating acute injuries of medial collateral ligament of knee at degree Ⅲ has following advantages:small range of tissue dissection, easy to operate,reliable fixation,and less complications.更多还原