膝前交叉韧带损伤12例的解剖学重建

Reconstruction of anterior cruciate ligament: A report of 12 cases

摘要: 目的: 探讨关节镜下采用异体前交叉韧带(ACL)修复重建损伤的膝ACL的临床疗效。方法: 在关节镜的监视下采用经深低温冷冻保存的异体ACL移植解剖重建ACL治疗膝关节ACL断裂12例,平均随访14个月,术前Lysholm法评估平均60.1±5.8。结果: 12例患者膝关节功能恢复满意。术后膝关节功能按照Lysholm法评估达90.8±5.2,其中优良率达80%。全组病例无关节粘连、切口感染或血管神经损伤等并发症。结论: 膝关节镜下采用异体ACL解剖学重建ACL,可同时达到解剖学重建和等长重建,损伤小,康复快,疗效肯定,是一种有效的ACL的重建材料。

Abstract: Objective: To evaluate the effect of anterior cruciate ligament(ACL) reconstruction with fresh-frozen ACL allograft.Methods: Twelve patients with a mean age of 24.7 years underwent the operation using allograft ACL.The average follow-up was 14 months.Lysholm rating scale was used preoperatively and postoperatively.The mean preoperative Lysholm score was 60.1±5.8.Results: All the cases rehabilitated smoothly.The mean postoperative Lysholm score was 90.8±5.2,which was significantly higher than that before operation.According to Lysholm rating scale,80% of the cases was classified as excellent or good.No joints adhesion,wound infection or injury of the blood vessel and nerves was found.Conclusions: Fresh-frozen ACL allograft is a good alternative for ACL reconstruction.