|本期目录/Table of Contents|

[1]郑秋,张豪,肖世卓,等.自体肌腱单束重建前交叉韧带股骨端Endobutton固定与Rigidfix 固定的临床对照研究[J].国际骨科学杂志,2020,06:365-370.
　ZHENG Qiu,ZHANG Hao,XIAO Shizhuo,et al.Endobutton fixation versus Rigidfix fixation of the femoral end of the reconstructed anterior cruciate ligament with single bundle of autogenous tendon[J].International Journal of Orthopaedics,2020,06:365-370.
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自体肌腱单束重建前交叉韧带股骨端Endobutton固定与Rigidfix 固定的临床对照研究(PDF)

《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:
2020年06期
页码:
365-370
栏目:
临床研究
出版日期:
2020-12-20

文章信息/Info

Title:
Endobutton fixation versus Rigidfix fixation of the femoral end of the reconstructed anterior cruciate ligament with single bundle of autogenous tendon
作者:
郑秋; 张豪; 肖世卓; 李宇; 杨洪彬
646000 泸州, 西南医科大学附属医院骨与关节外科(郑秋、肖世卓、李宇、杨洪彬); 638500, 邻水县人民医院骨科(张豪)
Author(s):
ZHENG Qiu1;  ZHANG Hao2;  XIAO Shizhuo1;  LI Yu1;  YANG Hongbin1.
Department of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University1, Luzhou 646000, China; Department of Orthopedics, People's Hospital of Linshui County2, Guang'an 638500, China
关键词:
关节镜;  前交叉韧带重建;  Endobutton固定;  Rigidfix固定;  隧道增宽
Keywords:
Arthroscopy;  Anterior cruciate ligament reconstruction;  Endobutton;  Rigidfix;  Tunnel widening
分类号:
-
DOI:
10.3969/j.issn.1673-7083.2020.06.010
文献标识码:
A
摘要:
目的 对比分析膝关节镜下自体肌腱单束重建前交叉韧带术中分别采用Endobutton带袢钢板与Rigidfix横穿钉固定股骨端肌腱的临床疗效。方法 回顾性分析2017年3月至2019年3月西南医科大学附属医院骨科收治的78例自体肌腱单束重建前交叉韧带术中股骨端采用Endobutton带袢钢板或Rigidfix横穿钉固定患者的临床资料,其中采用Endobutton带袢钢板固定38例(E组),采用Rigidfix横穿钉固定40例(R组)。采用Lysholm膝关节评分评估患者手术前后膝关节功能,并通过三维CT重建计算手术后股骨隧道宽度变化,进行前抽屉试验(ADT试验)、Lachman试验评估术后膝关节稳定性。结果 E组患者平均随访时间为24个月(13～33个月),R组患者平均随访时间为23个月(13～34个月)。末次随访时,E组Lysholm 膝关节评分为(91.4±2.01)分,R组为(90.45±1.88)分,与术前[分别为(40.21±2.90)分、(41.35±2.78)分]差异有统计学意义(P<0.05),两组间比较无统计学意义(P>0.05)。末次随访时,E组股骨端隧道内口增宽(0.80±0.16)cm,隧道中点增宽(0.70±0.19)cm,R组股骨端隧道内口增宽(0.75±0.21)cm,隧道中点增宽(0.65±0.15)cm,两组间股骨端隧道内口及隧道中点增加宽度差异无统计学意义(P>0.05)。E组ADT试验Ⅰ度松弛8例,Ⅱ度松弛1例; Lachman试验Ⅰ度松弛6例,Ⅱ度松弛1例。R组ADT试验Ⅰ度松弛10例; Lachman试验Ⅰ度松弛5例,Ⅱ度松弛1例。两组ADT试验及Lachman试验差异均无统计学意义(P>0.05)。结论 自体肌腱单束重建前交叉韧带术中股骨端Endobutton固定与Rigidfix固定均可取得满意固定效果,术后膝关节功能均能获得良好改善。
Abstract:
Objective To investigate the tendon fixation results with Endobutton plate versus Rigidfix transverse nail during the reconstruction of anterior cruciate ligament with autogenous tendon under arthroscopy.Methods A retrospective analysis of 78 patients who

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备注/Memo

备注/Memo:
基金项目: 四川省科技厅科研基金资助项目(2013JY0103)
通信作者: 杨洪彬 E-mail: yanghongbin1234@163.com
更新日期/Last Update: 2020-12-20