爱惜邦缝线联合高强缝线Rigidfix系统固定自体肌腱重建前交叉韧带的疗效比较

Comparison of anterior cruciate ligament reconstruction by Ethibond excel polyester sutures combined with high-strength sutures using RigidFix for autogenous tendons fixation

摘要:

目的 探讨爱惜邦缝线联合高强缝线Rigidfix系统固定自体肌腱重建前交叉韧带（ACL）的疗效。 方法 2011年10月-2013年8月采用Rigidfix系统固定自体肌腱重建ACL 48例，25例移植肌腱采用高强缝线联合爱惜邦5号线编织缝合（观察组），23例移植肌腱单独采用爱惜邦5号线编织缝合（对照组）。两组性别、年龄、损伤侧别、病程及术前Lachman试验、Lysholm评分、国际膝关节文献委员会（IKDC）评分等一般资料比较，差异均无统计学意义（P >0.05）。术后两组处理方法和康复措施一致。结果 两组术程顺利，术中无血管、神经及半月板损伤，术后无供腱区疼痛、肌无力等并发症发生。两组术后6个月及2年Lachman试验、Lysholm评分和IKDC评分明显优于术前（P <0.05），但两组间比较差异均无统计学意义（P >0.05）。结论 采用Rigidfix系统固定自体肌腱重建ACL时，运用高强缝线联合爱惜邦5号线对移植肌腱进行编织缝合能够获得良好的临床疗效，但术中是否有必要采用高强缝线尚需要进一步探讨。

Abstract:

Objective To compare the effectiveness of anterior cruciate ligament (ACL) reconstruction using RigidFix for autogenous tendons fixation between by Ethibond excel polyester sutures combined with high-strength sutures and by Ethibond excel polyester sutures. Methods From October 2011 to August 2013, 48 cases of ACL rupture underwent ACL reconstruction using RigidFix for autogenous tendons fixation. Ethibond excel polyester sutures combined with high-strength sutures were used in 25 cases (observation group) and Ethibond excel polyester sutures were used in 23 cases (control group). There was no significant difference in gender, age, side, disease duration, and preoperative Lachman test, Lysholm score, and the International Knee Documentation Committee (IKDC) score between the two groups (P > 0.05). While the treatment and rehabilitation measures were identical. Result The operation performed smoothly. Vessel, nerve and meniscus were not injured. No complication of donor site pain and myasthenia of affected knee after operation. At 6 months and 2 years after operation, the Lachman test, the Lysholm score and the IKDC score were superior significantly to those before operation in both groups (P < 0.05), but no significant difference was found(P > 0.05). Conclusion Anterior cruciate ligament reconstruction by Ethibond excel polyester sutures combined with high-strength sutures using RigidFix for autogenous tendons fixation presented satisfactory clinical results, whether using high-strength sutures during operation needs to be further study.