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自体与同种异体肌腱重建前交叉韧带临床对比分析 被引量：7

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摘要 目的:观察自体骨-髌腱-骨与同种异体移植物关节镜下重建膝关节前交叉韧带(ACL)的疗效与差异。方法:将52例ACL损伤患者分为两组:自体骨-髌腱-骨组23例,同种异体肌腱移植组29例。回顾性分析比较两组患者术前、术后一般情况,膝关节Lachman试验、中立位前抽屉试验(ADT)、Lysholm评分及IKDC评分。随访时间为6～12个月,平均8个月。结果:所有患者均获得随访,术后切口均愈合良好。自体组无明显免疫排斥反应发生,异体组有6例患者出现排斥反应,经甲强龙治疗后愈合良好。两组手术前后各项指标差异有显著性差异;术后膝关节稳定性、Lysholm评分及IKDC评分两组之间未见明显差异。结论:关节镜下自体及同种异体肌腱重建ACL都有较好的疗效,同种异体肌腱重建组无取材区并发症及手术创伤小的优点。
作者 傅永慧 张瑞
机构地区 中国医科大学附属盛京医院关节外科
出处 《陕西医学杂志》 CAS 2013年第3期296-298,共3页 Shaanxi Medical Journal
关键词 前交叉韧带 创伤的损伤 关节镜检查 肌腱 移植 骨髌 骨移植 移植 同种
分类号 R686.5 [医药卫生—骨科学]
作者简介 通讯作者
  • 相关文献

参考文献11

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同被引文献59

  • 1Mehta VM,Mandala C,Foster D,et aI.Comparison of revision rates in bone-patella tendon-bone autograft and allograft anterior cruciate ligament reconstruction.Orthopedics.2010;33(1 ): 12-12.
  • 2Mook WR, Parekh SG, Nunley JA.AIIograft reconstruction of peroneal tendons: Operative technique and clinical outcomes.Foot Ankle Int. 2013 34(9):1212-1220.
  • 3Yang JH, Yoon JR, Jeong HI,et aI.Second-look arthroscopic assessment of arthroscopic single-bundle posterior cruciate ligament reconstruction: Comparison of mixed graft versus achilles tendon allograft.Am J Sports Med. 2012;40(9):2052-2060.
  • 4Foster TE, Wolfe BL, Ryan S, et aI.Does the Graft Source Really Matter in the Outcome of Patients Undergoing Anterior Cruciate Ligament Reconstruction? An Evaluation of Autograft Versus AIIograft Reconstruction Results: A Systematic Review.Am J Sports Med. 2010;38(1 ): 189-199.
  • 5Wei Z, Thoreson AR, Amadio PC, et aI.Distal attachment of flexor tendon allograft: A biomechanical study of different reconstruction techniques in human cadaver hands.J Orthop Res. 2013 ;31 (11 ): 1720-1724.
  • 6Mariscalco MW, Magnussen RA, Mehta D,et al. Autograft versus nonirradiated allograft tissue for anterior cruciate ligament reconstruction: A systematic review.Am J Sports Med. 2014 Feb;42(2):492-499.
  • 7Sun K,Zhang J,Wang Yet al.Arthroscopic reconstruction of the anterior cruciate ligament with hamstring tendon autograft and fresh-frozen allograft: a prospective, randomized controlled study.Am J Sports Med. 2011;39(7):1430-1438.
  • 8Noh JH, Yang BG, Yi SR,et al.Single-bundle anterior cruciate ligament reconstruction in active young men using bone-tendon achilles allograft versus free tendon achilles allograft.Arthroscopy. 2013;29(3):507-5"f3.
  • 9Sun K, Zhang J, Wang Y, et aI.A prospective randomized comparison of irradiated and non-irradiated hamstring tendon allograft for ACL reconstruction.Knee Surg Sports Traumatol Arthrosc. 2012 ;20(1 ): 187-194.
  • 10Noh JH,Yi SR,Song SJ,et al.Comparison between hamstring autograft and free tendon Achilles allograft: minimum 2-year follow-up after anterior cruciate ligament reconstruction using EndoButton and Intrafix.Knee Surg Sports Traumatol Arthrosc. 2011 ; 19(5):816-822.

引证文献7

二级引证文献37

陕西医学杂志
2013年 第3期

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