[1]田华①　 Paul Disesare.青少年患者前交叉韧带断裂的重建[J].中国微创外科杂志,2003,03(2):138-139.
　TianHua,Paul Disesare..Reconstruction of disrupted anterior cruciate ligament in adolescent patients[J].Chinese Journal of Minimally Invasive Surgery,2003,03(2):138-139.
点击复制

青少年患者前交叉韧带断裂的重建()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
03
期数:
2003年2期
页码:
138-139
栏目:
出版日期:
2003-02-28

文章信息/Info

Title:
Reconstruction of disrupted anterior cruciate ligament in adolescent patients
作者:
田华①　 Paul Disesare
The Joint Disease Hospital of New York,NY 10003,USA(美国纽约关节病医院,纽约,10003)
Author(s):
TianHua;  Paul Disesare.
The Joint DiseasesHospital of New York, NY10003, USA
关键词:
前交叉韧带 重建 青少年患者
Keywords:
Anterior cruciate ligament　Reconstruction　Adolescent patient
分类号:
R686
文献标志码:
A
摘要:
目的总结一组青少年患者前交叉韧带断裂后利用骨-髌腱-骨进行关节镜下重建的经验. 方法回顾性研究1996年～2000年23例青少年前交叉韧带断裂在纽约关节病医院行骨-髌腱-骨重建.采用Lysholm 及IKDC评分系统评定临床疗效. 结果随访26月～63月,平均随访37月,Lysholm评分平均94分,21例膝关节功能恢复到损伤前的正常活动水平.IKDC评分18例(78.3%)膝关节功能正常,3例(13.0%)一般,2例(8.7%)较差.无1例在随访时有关节不稳定的表现. 结论骨-髌腱-骨法重建前交叉韧带同样适用于青少年患者,术中应特别注意两端骨块的固定.
Abstract:
Objective　To summarize the experience of anterior cruciate ligament (ACL) reconstruction in teenager patients by bone- tendon-bone method under arthroscope.　Methods　A total of 23 teenagers with disrupted ACL, whowere treated by bone-tendon-bone reconstruction in the Joint Diseases Hospital of New York from 1996 to 2000, were reviewed. The clinical results were measured by using Lysholmand International Knee Documentation Committee (IKDC) scoring systems.　Results　The patients were followed for 26~63 months, mean 37 months. The mean Lysholm score was 94 points, 21 patients returning to their pre-injury normal knee functions.According to IKDC system, normal knee functions were obtained in 18 cases (78·3%), improved functions in 3 (13·0%), and poor in 2 (8·7%). There were no patients complaining instability in follow-up.　Conclusions　Bone-tendon-bone reconstruction is also suited to adolescent patients with disrupted ACL. Special attention should be paid to the bone plug and the interface screw fixation in operation.

参考文献/References:

［1］Andrews M, Noyes FR, Barber-Westin SD. Anterior cruciate allograft reconstruction in the skeletally immature athlete. Am J Sports Med, 1994,22:48-54.
［2］Andrish JT. Anterior cruciate ligament injuries in the skeletally immature patient. Am J Orthop, 2001, 30: 103-110.
［3］Lo IK, Bell DM, Fowler PJ. Anterior cruciate ligament injuries in the skeletally immature patient. Instr Course Lect, 1998,47:351-359.
［4］DeLee JC, Curtis R. Anterior cruciate ligament insufficiency in children. Clin Orthop, 1983,172:112-118.
［5］Edwards PH, GranaWA. Anterior cruciate ligament reconstruction in the immature athlete: long-term results of intra-articular reconstruction. Am J Knee Surg, 2001,14:4: 232-237.
［6］Mitzuta H, Kubota K, Shitaishi M, et al. The conservative treatment of complete tears of the anterior cruciate ligment in skeletally immature patients. J Bone Joint Surg Br, 1995, 77: 890-894.
［7］Stanitski CL. Anterior cruciate ligament injuries in the skeletally immature patient: Diagnosis and treament. J Am Acad Orthop Surg, 1995, 3: 146-158.
［8］Aglietti P, Buzzi R, D'Andria S, et al. Arthroscopic anterior cruciate ligament resconstruction with patella tendon. Arthroscopy, 1992,8:510-516.
［9］Fullkerson JP, Becker GJ. Anteromedial tibial tubercule transfer without bone graft. Amm J Saports Med,1990,18, 490-496.
［10］Francis A, Thomas RD, McGregor. Anterior cruciate ligament ruptures: reconstruction surgery and rehabilitation. A nation-wide survey of current prctice. Knee, 2001,8:13-18.
［11］Simonian PT, Metcalf MH, Larson RV. Anterior cruciate ligament injuries in the skeletally immature patient. Am J Orthop, 1999, 28: 624-628.
［12］Barber FA, Sanders JO, Clark R. Anterior cruciate ligament reconstruction in the skeletally immature high-performance athlete: What to do and when to do it? Arthroscopy, 2000, 16: 391-394.
［13］Hawkin CA, Rosen JE. ACL injuries in the skeletally immature patient. Bull Hosp Jt Dis, 2000, 59:227-231.
［14］Kocher MS, Saxon HS, Hovis WD. Management and complications of anterior cruciate ligament injuries in skeletally immature patients: survey of the Herodicus Society and The ACL Study Group. J Pediatr Orthop, 2002, 22: 452-457.
［15］Engebretsen L, Svenningsen S, Benum P. Poor results of anterior cruciate ligament repair in adolescents. Acta Orthop Scand, 1988;59, 684-686.
［16］McCarroll JR, Shelbourne KD, Porter DA, et al. Patellar tendon graft reconstruction for midsubstance anterior cruciate ligament rupture in junior high school athletes. Am J Sports Med, 1994, 22: 478-484.
［17］Noyes FR, Barber SD, Mangine RE. Bone-patellar ligment-bone and fascia lata allografts for reconstruction of the anterior ligment. J Bone Joint Surg Am, 1990, 72: 1125-1136.
［18］Koman JD, Sanders JO. Valgus deformity after reconstruction of the anterior cruciate ligament in a skeletally immature patient. J Bone Joint Surg Am, 1999, 81: 711-715.
［19］Stadelmaier DM, Arnoczky SP, Dodds J, et al. The effect of drilling and soft tissue grafting across open growth plates. Am J Sports Med, 1995,23: 431-435.

备注/Memo

备注/Memo:
①（北京大学第三医院骨科,北京,100083）
更新日期/Last Update: 2014-06-10