[1]杨渝平,敖英芳.自体骨-髌腱-骨和腘绳肌腱单束重建前交叉韧带的愈合形态学和前向稳定性对比[J].中国微创外科杂志,2011,11(3):245-248.
　Yang Yuping,Ao Yingfang..Comparison between Bonepatellar Tendonbone and Hamstring Autograft Graft on the Healing Morphology and Forward Stability in Patients Undergoing Anterior Cruciate Ligament Singlebundle Reconstruction[J].Chinese Journal of Minimally Invasive Surgery,2011,11(3):245-248.
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自体骨-髌腱-骨和腘绳肌腱单束重建前交叉韧带的愈合形态学和前向稳定性对比()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
11
期数:
2011年3期
页码:
245-248
栏目:
出版日期:
2011-03-20

文章信息/Info

Title:
Comparison between Bonepatellar Tendonbone and Hamstring Autograft Graft on the Healing Morphology and Forward Stability in Patients Undergoing Anterior Cruciate Ligament Singlebundle Reconstruction
作者:
杨渝平; 敖英芳
北京大学第三医院运动医学研究所，北京100191
Author(s):
Yang Yuping;  Ao Yingfang.
Institute of Sports Medicine, Peking University Third Hospital, Beijing 100191, China
关键词:
二次关节镜; 前交叉韧带重建; 自体骨-髌腱-骨; 自体腘绳肌腱; 韧带形态学
Keywords:
Secondlook arthroscopy; Reconstruction of anterior cruciate ligament; Autologous bonepatellar tendonbone; Hamstring tendon autograft; Ligament morphology
分类号:
R686
文献标志码:
A
摘要:
目的探讨采用自体骨-髌腱-骨(bonepatellar tendonbone, BPTB)和自体腘绳肌腱(hamstring tendon, HT)进行前交叉韧带（anterior cruciate ligament , ACL）单束重建后的移植物愈合形态和前向稳定性是否存在差异。方法1996年7月～2005年5月，我所对134例急性ACL断裂施行膝关节镜下ACL单束重建，移植物分别为自体BPTB和HT，其中51例为去除金属内固定而二次入院手术（术后6～46个月，平均13.8月），根据移植物种类将51例分为2组：BPTB组（n=14）和HT组（n=37），比较关节镜下移植物愈合形态，采用膝关节韧带位移测量仪（KT2000）分别在屈膝30°和90°时测量前向松弛度。结果BPTB组和HT组重建韧带形态学表现如下：韧带完整分别占85.7%（12/14）和86.5%（32/37），断裂<1/2分别占14.3%（2/14）和13.5%（5/37），2组无统计学差异（χ2=0.000，P=1.000）；滑膜完整分别占57.1%（8/14）和64.9%（24/37），部分滑膜覆盖分别占28.6%（4/14）和27.0%（10/37），无滑膜覆盖分别占14.3%（2/14）和8.1%（3/37），2组无统计学差异（χ2=0.501，P=0.779）；滑膜内有血管形成分别占57.1%（8/14）和64.9%（24/37），2组无统计学差异（χ2=0.259，P=0.611）；有“独眼征”（cyclops）形成分别占14.3%（2/14）和10.8 %（4/37），2组无统计学差异（χ2=0.000，P=1000）。2组前向松弛度在屈膝30°时分别为（2.2±0.5）、（1.8±1.4）mm（t=1.039，P=0.304），90°时分别为（1.2±0.6）、（1.1±0.7）mm（t=0.472，P=0.639）。 结论急性期采用自体BPTB和HT单束重建ACL，在韧带愈合形态学表现和重建的前向稳定性方面均无显著性差异。
Abstract:
ObjectiveTo compare the transplant healing morphology and forward stability after singlebundle anterior cruciate ligament (ACL) reconstruction by using autologous bonepatellar tendonbone (BPTB) and hamstring tendon (HT). MethodsBetween July 1996 and May 2005, 134 patients with acute ACL tear received singlebundle ACL reconstruction using autologous BPTB or HT at the Peking University Third Hospital Sports Medicine Center. Of these cases, 51 patients were admitted to remove internal fixation devices (time between hospitalizations ranged from 6 to 46 months, with a mean of 13.8 months) with arthroscopic treatment; these cases were included in this study, and were divided into BPTB (n=14) and HT (n=37) groups according to different transplant. We observed the transplant morphology under an arthroscope and measured the forward stability using KT2000 at 30 and 90 degrees flexion respectively, and then compared the results between the two groups. ResultsNo statistically significant difference was observed regarding ligament integrity between the two groups［completely intact: 85.7%(12/14) vs. 86.5%(32/37); lessthanhalf rupture: 14.3% (2/14) vs. 13.5%(5/37), χ2=0.000, P=1.000］;synovial membrane integrity ［complete: 57.1%(8/14) vs. 64.9%(24/37); partial: 28.6%(4/14) vs. 27.0%(10/37), χ2=0.501, P=0.779］; synovial membrane vascular formation ［present: 57.1% (8/14) and 64.9%(24/37), χ2=0.259, P=0.611］; and Cyclops ［14.3%(2/14) vs. 10.8%(4/37), χ2=0.000, P=1000］. The measurement of forward stability at 30 degree flexion: (2.2±0.5) mm vs. (1.8±1.4) mm (t=1.039, P=0.304); and at 90 degree flexion: (1.2±0.6) mm vs. (1.1±0.7) mm (t=0.472, P=0639). ConclusionsSinglebundle ACL reconstruction by using autologous BPTB or HT yields no different outcomes in terms of morphology and forward stability.

参考文献/References:

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备注/Memo

备注/Memo:
敖英芳通讯作者，Email:yingfang.ao@vip.sina.com
更新日期/Last Update: 2013-04-18