| 于洋1,2 李众利1△ 白晓伟2 傅仰木2 廖伟雄2 郭晓东3.前交叉韧带重建术股骨止点定位的治疗原则与临床效果研究*[J].,2014,14(17):3266-3268 |
| 前交叉韧带重建术股骨止点定位的治疗原则与临床效果研究* |
| Study on Treatment Principles and Clinical Effects of Anterior CruciateLigament Reconstruction of the Femur and Ending Point Positioning* |
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| DOI： |
| 中文关键词: 前交叉韧带重建术 股骨止点 隧道定位 |
| 英文关键词: Anterior cruciate ligament reconstruction Dead femur Tunnel positioning |
| 基金项目:国家自然科学基金青年科学基金项目(81301239) |
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| 中文摘要: |
| 摘要目的：探讨前交叉韧带重建术股骨止点定位的治疗原则与临床效果。方法：选取2011 年9 月～2013 年1月在我院开展关节
镜下前交叉韧带重建术的38例患者的临床治疗，观察术后治愈情况及不同临床结果下股骨止点定位的差异。结果：38 例患者未
出现重建失败病例，无翻修手术。手术前后对患者进行Lysholm 评分与Tegner 运动评级，发现术后患者Lysholm与Tegner 评分
均显著高于术前，有显著差异，具有统计学意义（P<0.05）。根据患者临床疗效的不同，分为治疗满意组27例，不满意者11 例，观察
两种手术结果的股骨止点定位情况发现满意组股骨止点位置为（67.32%± 6.53%），不满意组为（61.39%± 5.86%），两组数值差异
显著，具有统计学意义（P<0.05）。结论：股骨止点定位对术后患者膝关节能力的恢复有重要作用，前交叉韧带重建术中保证股骨止
点定位的有效性对患者临床治疗有显著效果。 |
| 英文摘要: |
| ABSTRACT Objective:To investigate the treatment principles and clinical effects of anterior cruciate ligament reconstruction of the
femur and ending point positioning. Methods:38 patients who were conducted the arthroscopic anterior cruciate ligament reconstruction
in our hospital from September 2011 to January 2013 were selected, and the differences in cure and postoperative clinical outcomes
under different positioning of the femoral dead after the surgery were observed. Results:No rebuild failure or revision surgery appeared.
Lysholm score and Tegner sports ratings were carried out before and after the surgery. The scores of the post-operative Lysholm and
Tegner were significantly higher than before with statistically significant differences (P<0.05). According to the clinical outcomes, the
patients were divided into the satisfied group (n=27) and dissatisfied group (n=11). The femur ending point position of the satisfied group
was (67.32± 6.53)%, while in the dissatisfied group was (61.39± 5.86)%, and the differences were statistically significant between two
groups (P<0.05). Conclusion:The ending point positioning of the femur has a great impact on clinical effect and is conducive to the
postoperative recovery of knee joint ability. The efficacy of femoral ending point position in anterior cruciate ligament reconstruction is
helpful to the improvement of clinical treatment effect. |
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