【摘要】：目的探討改良Laprade法重建后外側(cè)結(jié)構(gòu)以及前外側(cè)韌帶治療膝關(guān)節(jié)外側(cè)損傷的近期療效。方法 2013年6月—2015年7月,收治13例膝關(guān)節(jié)多發(fā)韌帶損傷患者。男9例,女4例;年齡23~49歲,平均38歲。交通事故傷7例,高處墜落傷4例,運動傷2例。損傷至手術(shù)時間18~92 d,平43 d�；颊咔啊⒑蟪閷显囼灱癓achman試驗均呈陽性,伴內(nèi)翻、前后外旋不穩(wěn)。膝關(guān)節(jié)Lysholm評分為(38.4±7.7)分。國際膝關(guān)節(jié)文獻(xiàn)委員會(IKDC)綜合評分均為D級。后外側(cè)結(jié)構(gòu)損傷根據(jù)Fanelli分型標(biāo)準(zhǔn),均為C型。術(shù)中取健側(cè)自體肌腱,關(guān)節(jié)鏡下重建前、后交叉韌帶,并聯(lián)合后外側(cè)切口行改良Laprade法重建后外側(cè)結(jié)構(gòu)及前外側(cè)韌帶。結(jié)果術(shù)后切口均Ⅰ期愈合�；颊呔@隨訪,隨訪時間12~36個月,平均19個月。末次隨訪時,患者前、后抽屜試驗及Lachman試驗均呈陰性;2例內(nèi)翻不穩(wěn),1例后外旋轉(zhuǎn)不穩(wěn)。無前外旋轉(zhuǎn)不穩(wěn)定。膝關(guān)節(jié)Lysholm評分為(88.6±12.7)分,與術(shù)前比較差異有統(tǒng)計學(xué)意義(t=13.852,P=0.000)。IKDC綜合評分:A級8例,B級4例,C級1例;與術(shù)前比較差異有統(tǒng)計學(xué)意義(Z=3.182,P=0.000)。結(jié)論對于膝關(guān)節(jié)外側(cè)損傷,應(yīng)用自體肌腱采用改良Laprade法解剖重建后外側(cè)結(jié)構(gòu)及前外側(cè)韌帶,可獲得較好近期療效。
[Abstract]:Objective to investigate the short-term effect of modified Laprade method on reconstruction of posterolateral structure and anterior lateral ligament in the treatment of lateral injury of knee joint. Methods from June 2013 to July 2015, 13 patients with multiple ligament injury of knee joint were treated. There were 9 males and 4 females with an average age of 38 years. There were 7 cases of traffic accident injury, 4 cases of falling injury and 2 cases of sports injury. The time from injury to operation was 18 鈮，

本文編號：2492079