关节镜下不同股骨隧道钻取方式前交叉韧带重建的短期疗效研究

Short-term outcome of arthroscopic anterior cruciate ligament reconstruction with different femoral tunnel drilling methods

摘要:

摘要：目的??探讨关节镜下前交叉韧带重建术中由外向内法钻取股骨隧道和传统前内侧入路法钻取股骨隧道的临床效果。方法 选取2018年2月－2019年6月就诊于该院骨科中心并诊断为前交叉韧带损伤的50例患者，对这些患者行前十字韧带重建，其中25例患者采用由外向内法钻取股骨隧道（由外向内组），余下25例患者使用传统的经前内侧入路法钻取股骨隧道（前内侧组），术后行常规康复训练。比较两组患者的手术时间、钻取的股骨隧道长度、术前、术后3个月门诊随访的国际膝关节评分委员会（IKDC）评分和Lysholm评分。结果 前交叉韧带重建术中，由外向内法钻取股骨隧道手术时间为（76.79±11.25）min，经前内侧入路法手术时间为（75.40±10.32）min，差异无统计学意义（P??0.05）。结论 由外向内法和前内侧入路法相比，手术时间相当、股骨隧道更长，但在术后3个月内都能达到较为满意的临床疗效。

Abstract:

Abstract: Objective?To explore the clinical effect of drilling the femoral tunnel via outside-in technique and traditional anteromedial approach in arthroscopic anterior cruciate ligament reconstruction.?Methods?50 patients diagnosed as anterior cruciate ligament injury were selected from February 2018 to June 2019. Arthroscopic anterior cruciate ligament reconstruction was performed. Among them, 25 cases of femoral tunnel were assigned to the outside-in technique, 25 cases of femoral tunnel were drilled through the anteromedial approach, and routine rehabilitation training was performed after operation. Operative time, femoral tunnel length, preoperative and postoperative follow-up IKDC scores and Lysholm scores were compared.?Results?Statistical analysis showed that the operation time was (76.79?±?11.25) min for the outside-in method, (75.40?±?10.32) min for the anteromedial approach, the difference was not statistically significant (P?>?0.05). (37.03?±?2.17) mm for the outside-in method, and (34.66?±?2.65) mm for the anteromedial approach. The difference was statistically significant (P??0.05).?Conclusion?The outside-in technique and the anteromedial approach operation time is almost the same, and longer femoral tunnel, but they all can achieve satisfactory clinical results in three months after operation.