|
|
Clinical Observation on Treatment of Old Anterior Cruciate Ligament Fracture with Synovial Clearance and Retention of Anterior Ligament Reconstruction under Knee Arthroscopy |
WEI Baochen, WEI Zhaolan, XIE Nengfeng, et al |
Liuzhou People's Hospital, Guangxi Liuzhou 545006, China |
|
|
Abstract Objective: To explore the clinical effect of arthroscopic synovial debridement combined with anterior cruciate ligament (ACL) reconstruction for old ACL rupture. Methods: The clinical data of 76 patients with old ACL were retrospectively analyzed. All patients were given knee arthroscopic synovectomy, and patients who were combined with ACL reconstruction with remnant preservation were included in observation group (n=42), and patients who were combined with ACL reconstruction with remnant removal were included in control group (n=34). The knee stability, knee function (Lysholm knee joint score) and life affected degree [2000 International Knee Documentation Committee (IKDC) Subjective score] were compared between the two groups before operation and at 3 months, 6 months and 12 months after operation. The treatment effects at 12 months after treatment and the complications within 12 months were analyzed in the two groups. Results: At 3 months, 6 months and 12 months after operation, the anterior displacement relaxation of knee joints in the two groups was significantly lower than that before operation, and the index in observation group was significantly lower than that in control group (all P<0.05). The Lysholm knee score and the IKDC subjective score were significantly improved compared with those before operation, and the scores in observation group were significantly higher than those in control group (all P<0.05). At 12 months after operation, the effective rate of treatment in observation group was significantly better than that in control group (P<0.05). There was no significant difference in the incidence rate of complications between the two groups within 12 months after operation (all P>0.05). Conclusions: Knee arthroscopic synovectom+ ACL reconstruction with remnant preservation has prominent treatment effects, and it does not increase the risk of complications compared with the method of remnant removal, and it is beneficial to the early development of mechanism of knee stability and function recovery.
|
|
|
|
|
[1] 马童,涂意辉,薛华明,等.单髁置换术前判断前交叉韧带功能完整的准确性研究[J].实用骨科杂志,2016,22(1):18~20.
[2] 秦爽,钱菁华.前交叉韧带损伤康复的研究进展[J].中国运动医学杂志,2017,36(9):834~839.
[3] 唐聪,黄长明,范华强.前交叉韧带损伤合并半月板损伤的研究进展[J].中国骨与关节杂志,2015,4(4):309~314.
[4] 史福东,冯世庆,左金增,等.关节镜下自体腓骨长肌腱和腘绳肌腱重建前交叉韧带的对比[J].中华实验外科杂志,2014,31(11):2531~2533.
[5] 吴海山.交叉韧带损伤的诊断与治疗:共识与争论[J].中华外科杂志,2007,45(2):100~102.
[6] 鲍瑞林.膝关节交叉韧带重建手术前后lysholm膝关节活动评分比较[J].宁夏医科大学学报,2013,35(12):1410~1413.
[7] Grevnerts H T, Terwee C B, Kvist J. The measurement properties of the IKDC-subjective knee form[J]. Knee Surgery Sports Traumatology Arthroscopy, 2015, 23(12):3698~3706.
[8] 陈连旭,付立功.前交叉韧带断裂和重建的临床流行病学分析[J].中国组织工程研究,2016,20(24):3602~3608.
[9] 陈飞强,邓雪峰,黄丽仪,等.关节镜下自体腘绳肌肌腱重建膝前交叉韧带[J].广东医学,2015,36(13):2124.
[10] 李国,吕贵荣,王传洲.膝关节镜下治疗老年骨关节炎退行性变的疗效研究[J].河北医学,2016,22(2):272~275.
[11] 丁明,张春礼.保留韧带残端在前交叉韧带重建术中的价值[J].中国微创外科杂志,2015,15(1):77~79,91.
[12] 洪雷,宋关阳,李旭,等.保留与不保留残端重建前十字韧带的前瞻性随机对照研究[J].中华骨科杂志,2015,35(4):387~393. |
|
|
|