膝关节镜下取自体肌腱重建后交叉韧带的临床疗效分析

doi:10.13418/j.issn.1001-165x.2022.4.17

Abstract

Abstract: Objective To investigate the clinical effect and prognosis of reconstruction of posterior cruciate ligament (PCL) with peroneal longus tendon and semitendinosus tendon autografts under arthroscopy. Methods The clinical data of 33 patients who met the inclusion criteria and treated with PCL rupture in the Hospital of Traditional Chinese Medicine Affiliated to Southwest Medical University from June 2018 to May 2019 were retrospectively analyzed. Posterior cruciate ligament reconstruction with autologous peroneus longus tendon and tendon of semitendinosus under arthroscopy were performed. The IKDC score, Lysholm score, Tegner score and the backwards distance of tibial plateau were compared before operation, 3 months, 6 months and 12 months after operation to evaluate comprehensive function of the knee joint. Results The X-ray and MRI of the patient 12 months after operation showed that the screw position was securely fixed without rupture or release, union of bone canal, and the PDT turned negative. The backwards distance of tibial plateau 12 months after operation was obviously shorter than that before operation, (11.33±1.45) cm VS(3.27±0.80) cm, P<0.05. after operation of 3 months, 6 months, and 12 months, The backwards distance of tibial plateau increased slowly at 3, 6, 12 months postoperatively (2.94±0.90), (3.18±0.84) and (3.27±0.80) cm, respectively, without statistical difference. At 3, 6, and 12 months after operation, the IKDC scores were (70.97±2.59), (86.18±1.78), (92.67±2.13), respectively, compared with (50.33±3.31) before operation, P<0.05. Lysholm scores were (73.52±2.59), (87.12±1.93), (93.94±1.98), respectively, compared with (51.82±3.95) before operation, P<0.05. Tegner scores were (5.21±0.74), (7.67±0.85), (8.52±0.57), respectively, compared with (1.97±1.10) before operation, P<0.05 The function was improved significantly, the comparison between scores was gradually increased, with significant difference. Conclusions The clinical effect of posterior cruciate ligament reconstruction with autologous peroneus longus and semitendinosus tendon under arthroscopy is definite with fewer complications. Besides, the surgery can significantly improve knee joint function, pain and stability, which is worthy of recommendation.

Key words: Arthroscopy; , Autologous peroneus longus tendon; , Semitendinosus tendon; , Posterior cruciate ligament reconstruction

CLC Number:

R686.5

Li Bingkun, Zhang Lei, Xia Zhangrong, Zhou Xin, Tang Xiaogao, Fu Shijie, Wang Guoyou, Huang Wenhua. Clinical effect analysis of reconstruction of posterior cruciate ligament from personal tendon under arthroscopy[J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 466-470.

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Clinical effect analysis of reconstruction of posterior cruciate ligament from personal tendon under arthroscopy

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