[1]朱成祥,赵其纯.关节镜下LARS韧带重建后交叉韧带的早期临床疗效分析[J].医学信息,2018,31(21):97-99,102.[doi:10.3969/j.issn.1006-1959.2018.21.026]
　ZHU Cheng-xiang,ZHAO Qi-chun.Analysis of the Early Clinical Effect of Arthroscopic Reconstruction of the Posterior Cruciate Ligament with LARS Ligament[J].Journal of Medical Information,2018,31(21):97-99,102.[doi:10.3969/j.issn.1006-1959.2018.21.026]
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关节镜下LARS韧带重建后交叉韧带的早期临床疗效分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年21期
页码:
97-99,102
栏目:
临床研究
出版日期:
2018-11-01

文章信息/Info

Title:
Analysis of the Early Clinical Effect of Arthroscopic Reconstruction of the Posterior Cruciate Ligament with LARS Ligament
文章编号:
1006-1959（2018）21-0097-04
作者:
朱成祥; 赵其纯
安徽医科大学附属省立医院骨科，安徽 合肥 230000
Author(s):
ZHU Cheng-xiang; ZHAO Qi-chun
Department of Orthopaedics,Provincial Hospital Affiliated to Anhui Medical University,Hefei,230000,China
关键词:
LARS韧带; 自体肌腱; 后交叉韧带; 关节镜
Keywords:
LARS ligament; autologous tendon; posterior cruciate ligament; arthroscopy
分类号:
R687.2
DOI:
10.3969/j.issn.1006-1959.2018.21.026
文献标志码:
A
摘要:
目的 回顾性分析关节镜下LARS韧带重建后交叉韧带的早期临床疗效。方法 自2016年8月~2017年10月筛选50例确诊为后交叉韧带损伤患者。其中应用LARS韧带重建后交叉韧带患者22例设为实验组，应用自体半腱肌、股薄肌重建后交叉韧带的患者28例设为对照组。记录患者术后并发症发生率，采用Lysholm、IKDC、Tegner膝关节运动评分标准对术后膝关节的稳定性与活动性随访评分。结果 所有患者均获得随访，随访时间3~6个月。对照组术后并发症的发生率高于实验组（21.43% vs 9.09%），实验组在避免膝关节僵硬及下肢深静脉血栓方面优于对照组（4.55% vs 17.86%），差异具有统计学意义（P＜0.05）；两组患者术前Lysholm评分、IKDC评分以及Tegner评分比较，差异无统计学意义（P＞0.05），在术后随访过程中，实验组Lysholm评分、IKDC评分以及Tegner评分优于对照组，差异有统计学意义（P＜0.05）。结论 关节镜下LARS韧带重建后交叉韧带创伤小，降低术后并发症，有效的恢复膝关节的稳定性和功能性，具有较好的近期临床疗效。
Abstract:
Objective To retrospectively analyze the early clinical effects of arthroscopic reconstruction of the posterior cruciate ligament by LARS ligaments.Methods From August 2016 to October 2017, 50 cases of patients with posterior cruciate ligament injury were screened.Among them, 22 patients with post-cruciate ligament reconstruction with LARS ligament were set as the experimental group, and 28 patients with post-cruciate ligament reconstruction with autologous semitendinosus and gracilis muscle were set as the control group.The incidence of postoperative complications was recorded, and the stability and activity of postoperative knee joint were evaluated by Lysholm, IKDC and Tegner.Results All patients were followed up for 3-6 months.The incidence of postoperative complications in the control group was higher than that in the experimental group(21.43% vs 9.09%), The experimental group was superior to the control group in avoiding knee stiffness and deep venous thrombosis of lower limbs (4.55% vs 17.86%) and the difference was statistically significant (P<0.05).There was no statistically significant difference (P>0.05) between the two groups in terms of Lysholm score, IKDC score and Tegner score before surgery. During the postoperative follow-up, the Lysholm score,IKDC score and Tegner score of the experimental group were superior to the control group, and the difference was statistically significant(P<0.05).Conclusion The post-arthroscopic reconstruction of the cruciate ligament with LARS ligaments is less traumatic, can reduce the postoperative complications, effectively restore the stability and function of the knee joint, and has a good short-term clinical effect

参考文献/References:

[1]Cush GJ,Maloney PJ,Irgit K.Drop Foot After Knee Dislocation: Evaluation and Treatment[M]//The Multiple Ligament Injured Knee.Springer New York,2013:139-146. [2]Wang X,Jiang L.Arthroscopic reconstruction of anterior posterior cruciate ligament with LARS artificial ligament[J].Medical Journal of National Defending Forces in Northwest China,2017. [3]Xu X,Huang T,Liu Z,et al.Hamstring tendon autograft versus LARS artificial ligament for arthroscopic posterior cruciate ligament reconstruction in a long-term follow-up[J].Archives of Orthopaedic & Trauma Surgery,2014,134(12):1753-1759. [4]Ranger P,Senay A,Gratton GR,et al.LARS synthetic ligaments for the acute management of 111 acute knee dislocations: effective surgical treatment for most ligaments[J].Knee Surgery Sports Traumatology Arthroscopy Official Journal of the Esska,2018（Suppl 11）:1-9. [5]赵旭辉,王芳.人工韧带材料表面修饰及在膝关节交叉韧带重建中的应用[J].中国组织工程研究,2010,14(42):7915-7918. [6]宁波,燕树义,李亮,等.36例膝关节多发韧带损伤一期修复功能重建的近期疗效观察[J].中国矫形外科杂志,2015,23(4):306-309. [7]曾炜,魏林文,林久灶.膝关节镜下重建同侧膝关节前后交叉韧带长期随访结果[J].西南国防医药,2016,26(11):1271-1273. [8]邵银初,邹鸿星,单记春,等.关节镜下股骨双隧道"Y"形LARS人工韧带移植重建膝后交叉韧带[J].中华创伤杂志,2012,28(2):155-159. [9]李彬,王延芳,邱闯,等.LARS韧带与异体胫前肌腱保残重建损伤后交叉韧带的术后疗效对比研究[J].中国矫形外科杂志,2016,24(18):1650-1654. [10]叶俊星,沈光思,周海斌,等.关节镜下使用LARS人工韧带重建膝前、后交叉韧带[J].中华创伤杂志,2013,29(6):526-531. [11]刘华,狄正林,章军辉,等.关节镜下一期自体腘绳肌腱重建前交叉韧带联合LARS韧带重建后交叉韧带[J].中国骨与关节损伤杂志,2014,29(12):1227-1229.

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更新日期/Last Update: 2018-11-20