嵌压固定法解剖重建前交叉韧带单束损伤的初步报告
Objective：To investigate the feasibility of anatomical reconstruction of anterior cruciate ligament single bundle injury with hamstring tendons knot implant fixation. Methods From Feb 2002 to Feb 2005, 16 cases of anterior cruciate ligament posteriolateral bundle (PLB) reconstruction and 4 cases of anteriomedial btmdle(AMB)reconstruction were performed with hamstring tendons knot implant fixation. There were 10 cases of sports injuries, 6 cases of traffic accidents and 4 cases of daffy activity injuries. The ACL remnants were debrided arthroscopically and the uninjuried bundle was protected.Femoral tunnels were created according to the anatomic attachment of PLB (9:30 in the fight knee or 2:30 in the left) or AMB(11 in the fight knee or 1 in the left). Bottle-necked like femoral tunnel was created with a customized reamer. The diameter of tibial tunnel and inferior 1/3 of femoral tunnel were matched with the graft. After pretension, the hamstring tendon was knotted in the middle and then was introduced through the femoral tunnel into the tibial tunnel with the tendon knot press-fitted in the bottle-necked like femoral tunnel. Bis fixation and suture knotting on the bony bridge were completed in the tibial side. Result Patients were followed up for 6-8 months. Preoperative Lysholm score averaged 74.5 and postoperative score 94.2. Rulermetr examination showes that mean anterior tibial translation was less than 3mm and Lachmann test were negative postoperatively. Postoperative rotation was improved significantly. Conclusion：Anatomical reconstruction of anterior cruciate ligament single brindle (PLB/AMB)injury with hamstring tendons knot implant fixation has the advantages of biology fixation and superior compatibility.
交叉韧带 韧带损伤 韧带重建 嵌压固定法
刘玉杰 周密 李海鹏 李众力 王志刚 李光辉 薛静 朱娟丽
中国人民解放军总医院骨科 100853
国内会议
第2届中国重庆关节外科国际学术研讨会暨第二届全军关节镜学术研讨会
重庆
中文
232-233
2005-10-28（万方平台首次上网日期，不代表论文的发表时间）