中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

缝合锚钉结合半腱肌修复膝内侧副韧带Ⅲ度损伤的临床研究

甄建国,闫国富,朱吉国

(晋中市第一人民医院骨科,山西 晋中,030600)

浏览次数:140次 下载次数:382次

摘要:

目的 探讨缝合锚钉结合半腱肌移植修复治疗膝关节内侧副韧带Ⅲ度损伤的临床效果。方法 选择2008年1月至2015年1月我院收治的采用缝合锚钉结合半腱肌修复内侧副韧带的37例患者,采用解剖修复基础上游离移植半腱肌,并将其近端转位至内侧副韧带股骨侧止点来重建,观察其临床效果。结果 37例患者中,31例术后得到随访,随访时间6~12个月。末次随访结果显示优18例,良10例,中3例,优良率为93.55%。结论 缝合锚钉结合半腱肌移植修复治疗膝关节内侧副韧带芋 度损伤的临床效果显著。

关键词:膝关节;内侧副韧带损伤;半腱肌止点重建

中图分类号:R687.2文献标志码:A文章编号:2096-1413(2017)14-0063-02

    Clinical study on suture anchor combined with semitendinosus tendon transplantation in the treatment of the third degree injury of medial collateral ligament of knee joint
    ZHEN Jian-guo, YAN Guo-fu, ZHU Ji-guo
    (Department of Orthopedics, the First People`s Hospital of Jinzhong, Jinzhong 030600, China)

    ABSTRACT: Objective To investigate the clinical effect of suture anchor combined with semitendinosus tendon transplantation in the treatment of the third degree injury of medial collateral ligament of knee joint. Methods From January 2008 to January 2015, 37 cases of patients with medial collateral ligament of knee joint injury in our hospital were selected and treated with free transplantation of semitendinosus muscle on the basis of anatomical repair, and the proximal end was transposed to the lateral femoral check point of medial collateral ligament to reconstructed. The clinical effect was observed. Results Of the 37 cases of patients, 31 cases were followed up for 6-12 months. The results of the last follow-up showed that 18 cases were excellent, 10 cases were good and 3 cases were fair. The excellent rate was 93.55%. Conclusion Suture anchor combined with semitendinosus tendon transplantation has remarkable clinical effect in the treatment of the third degree injury of medial collateral ligament injury of knee joint.
    KEYWORDS: knee joint; medial collateral ligament injury of the knee; semitendinosus tendon reconstruction

    参考文献:
    [1] SCHEIN A,MATCUK G,PATEL D,et al.Structure and function, injury, pathology and treatment of the medial collateral ligament of the knee[J].Emerg Radiol,2012,19(6):489-498.
    [2] 李海东.关节镜探查联合韧带重建治疗慢性踝关节不稳疗效观察 [J].西南国防医药,2014,24(2):170-172.
    [3] 刘江锋.异体跟腱重建膝内侧副韧带陈旧性损伤16例疗效观察 [J].检验医学与临床,2014,11(5):643-644.
    [4] MATSUMOTO H,SUDA Y,OTANI T,et al.Roles of the anterior cruciate ligament and the medial collateral ligament in preventing valgus in stability[J].J Orthop Sci,2001,6(1):28-32.
    [5] 张江,彭建强,白波,等.不同缝合方法与缝线修复跟腱断裂的生物力学研究[J].中国骨与关节损伤杂志,2013,28(2):131-133.
    [6] 周捍东,孙强.膝内侧副韧带损伤治疗现状及进展[J].中国骨与关节损伤杂志,2010,25(6):572-574.
    [7] 于海洋,翟云雷.关节镜下一期修复膝关节多韧带损伤临床研究 [J].中国运动医学杂志,2014,33(3):193-197.
    [8] 吴伟东,郑荣宗,应锦河.关节镜下重建修复膝关节多韧带损伤[J].中国骨与关节损伤杂志,2012,27(1):82-83.

上一篇腹腔镜胆囊阑尾联合切除术的临床应用效果

下一篇探讨小切口手术切除甲状腺瘤的临床应用价值