【摘要】 目的比较单骨道单、双束前交叉韧带重建治疗前交叉韧带断裂患者的疗效。方法选取前交叉韧带断裂患者64例,随机分为双束组32例和单束组32例。双束组进行单骨道双束手术,单束组进行单骨道单束手术。术前及术后12个月评价2组患者的IKDC、Tegner、Lysholm和KT-2000评分。结果 2组患者性别、年龄和受伤侧别及时间的差异无统计学意义(P>0.05)。2组患者的术后IKDC、Tegner和Lysholm评分均高于术前,KT-2000评分均低于术前,差异有统计学意义(P<0.05)。2组术前、术后的IKDC、Tegner、Lysholm和KT-2000评分的差异无统计学意义(P>0.05)。结论单骨道单、双束前交叉韧带重建的主观功能评分与客观稳定性评分无显著差异,但单骨道双束前交叉韧带重建术手术方法简单,固定牢固,可以有效恢复膝关节前向稳定性。更多还原

【Abstract】 Objective To compare the efficacy of single-tunnel single-bundle and doublebundle reconstruction in patients with anterior cruciate ligament reconstruction.Methods A total of 64 patients with anterior cruciate ligament rupture in our hospital were randomly divided into singlebundle group with 32 cases and double-bundle group with 32 cases,given single-tunnel single-bundle anterior cruciate ligament reconstruction,and single-tunnel double-bundle anterior cruciate ligament reconstructions.The IKDC,Tegner,Lysholm and KT-2000 scores were compared in two groups preoperation and at 12 months after operation.Results Thee were no significant difference in sex,age,injured site and injured time in the two groups (P > 0.05).The IKDC,Tegner and Lysholm scores after operation were higher than operation before,and the KT-2000 scores was lower than operation before in two groups,and the differences were statistically significant (P < 0.05).But there were no significant differences in IKDC,Tegner,Lysholm and KT-2000 scores between two groups before and after treatment (P > 0.05).Conclusion The subjective and objective function scores of two groups showed no significant difference.But single-tunnel double-bundle for anterior cruciate ligament reconstruction is characterized by simplicity,firmly fixation and effectively restoration of knee stability.更多还原