[1]印钰 梅宇 王泽 刚武文杰 刘鹏飞 何鹏峰 宋首一** 谢兴**.股骨骨道过短的膝关节镜下前交叉韧带重建术中固定襻与可调襻应用的比较研究[J].中国微创外科杂志,2024,01(12):785-790.
　Yin Yu,Mei Yu,Wang Zegang,et al.Comparative Study of Clinical Application of Fixedloop and Adjustableloop in Arthroscopic Anterior Cruciate Ligament Reconstruction With Excessively Short Femoral Tunnel[J].Chinese Journal of Minimally Invasive Surgery,2024,01(12):785-790.
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股骨骨道过短的膝关节镜下前交叉韧带重建术中固定襻与可调襻应用的比较研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2024年12期
页码:
785-790
栏目:
临床研究
出版日期:
2024-12-25

文章信息/Info

Title:
Comparative Study of Clinical Application of Fixedloop and Adjustableloop in Arthroscopic Anterior Cruciate Ligament Reconstruction With Excessively Short Femoral Tunnel
作者:
印钰 梅宇 王泽 刚武文杰 刘鹏飞 何鹏峰 宋首一** 谢兴**
(北京大学第三医院运动医学科，北京100191)
Author(s):
Yin Yu;  Mei Yu;  Wang Zegang;  et al.
Department of Sports Medicine, Peking University Third Hospital, Beijing 100191, China
关键词:
前交叉韧带重建术; 股骨骨道固定; 股骨骨道过短
Keywords:
Anterior cruciate ligament reconstruction; Femoral tunnel fixation; Excessively short femoral tunnel
文献标志码:
A
摘要:
目的探讨在过短股骨骨道的膝关节镜下前交叉韧带重建术中使用固定襻和可调节襻的疗效。方法2019年 1月~2020年7月我院行膝关节镜下前交叉韧带重建术493 例，其中股骨骨道<30 mm共57例，最终纳入47例，按股骨端移植物固定方式分为EndoButton组(n=31)和TightRope组(n=16)，分别于术后6、12个月采用国际膝关节文献委员会(International Knee Documentation Committee，IKDC)评分、Lysholm评分和Tegner评分评估功能，术后12个月采用Lachman 试验和前抽屉试验评估关节松弛度，比较2种固定方式的临床效果。结果术后第6个月EndoButton组和TightRope组IKDC评分分别为(64.1±11.0)、(62.6±9.2)分，差异无显著性(t=0.464， P=0.645)；Lysholm评分分别为(81.9±10.6)、(85.3±93)分，差异无显著性(t=-1.079， P=0.286)；Tegner评分分别为(2.2±09)、(1.9±0.9)分，差异无显著性(t=0.933，P=0.356)。术后第12个月EndoButton组和TightRope组IKDC评分分别为(81.4±9.9)、(78.2±9.2)分，差异无显著性(t=1068，P=0.291)；Lysholm评分分别为(94.6±61)、(93.4±7.4)分，差异无显著性(t=0.626，P=0.534)；Tegner评分分别为(3.8±1.0)、(3.4±1.2)分，差异无显著性(t=1.402，P=0.168)。2组术后12个月Lachman试验和前抽屉试验比较差异无显著性(Z=-0.039，P=0.969；Z=-0.294，P=0.769)。结论膝关节镜下前交叉韧带重建术中，对于股骨骨道过短(<30 mm)，应用EndoButton(15 mm)或TightRope均能达到良好的临床效果。
Abstract:
ObjectiveTo explore the efficacy of fixedloop fixation and adjustableloop fixation in arthroscopic anterior cruciate ligament (ACL) reconstruction with excessively short femoral tunnel.MethodsA total of 493 patients undergoing ACL reconstruction at our hospital from January 2019 to July 2020 were reviewed, including 57 patients with femoral tunnel <30 mm and 47 patients ultimately included. According to the fixation method, they were divided into EndoButton group (n=31) and TightRope group (n=16). The International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner score were used to evaluate joint function at 6 and 12 months postoperatively, respectively. The Lachman test and anterior drawer test were used to evaluate joint laxity at 12 months postoperatively. The clinical effects of the two fixation methods were compared.ResultsAt 6 months postoperatively, the IKDC scores of the EndoButton group and TightRope group were (64.1±11.0) points and (62.6±9.2) points, respectively, with no significant difference (t=0.464, P=0.645). The Lysholm scores were (81.9±10.6) points and (853±93) points , with no significant difference (t=-1.079, P=0.286). The Tegner scores were (22±0.9) points and (19±0.9) points, with no statistically significant difference (t=0.933, P=0.356). At 12 months postoperatively, the IKDC scores of the EndoButton group and TightRope group were (81.4±9.3) points and (78.2±9.2) points, with no statistically significant difference (t=1.068, P=0.291). The Lysholm scores were (94.6±6.1) points and (93.4±7.4) points, with no statistically significant difference (t=0.626, P=0.534). The Tegner scores were (3.8±1.0) points and (3.4±1.2) points, with no statistically significant difference (t=1.402, P=0.168). There was no significant difference in the Lachman test and front drawer test between the two groups at 12 months after surgery (Z=-0.039, P=0.969; Z=-0.294, P=0.769).ConclusionIn arthroscopic ACL reconstruction surgery, both EndoButton (15 mm) and TightRope can achieve good clinical results for excessively short femoral tunnel (<30 mm).

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（32471531）**通讯作者，Email：110239283@qq.com（宋首一），mxxbj@126.com（谢兴）
更新日期/Last Update: 2025-02-27