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    • 保留或非保留 ACL 残迹对自体腘肌腱重建 ACL 术后胫骨骨道影响的对比研究

    马利平,朱本珂,贺业腾, 张明,闫新峰,白正武

    openalex（2014）

    Cited 0|Views2
    Abstract
    目的：探讨保留或非保留 ACL 胫骨残迹对 ACL 重建术后胫骨骨道的影响以及与临床疗效的关系。方法65例孤立性 ACL 损伤病例行关节镜下自体半腱肌、股薄肌肌腱重建 ACL，其中 A 组27例，保留 ACL 胫骨残迹，B 组38例，采用非保留残迹进行 ACL 重建。术后进行 MRI 检查，测量胫骨矢状位骨道最宽处直径，以术后1周对应部位骨道直径为衡量基准，对骨道扩大率进行统计学分析。采用 Lysholm 评分评估各组临床疗效。结果 A组25例，B 组35例得以随访，其中 A 组平均随访12.4个月，B 组平均随访12.1个月。两组病例术后胫骨骨道均有不同程度增宽，以 B 组骨道扩大程度相对较高。结果表明胫骨骨道随时间延长逐步扩大，在术后6周即有明显的扩大，自术后3个月，骨隧道变化程度相对较小，并趋于稳定；两组资料胫骨骨隧道扩大程度在各个时间段上均无统计学意义。所有病例稳定性良好，术后 Lysholm 评分在随访过程中逐步提高，两组病例在各个时间段对比无统计学意义（P ＆gt;0.05）。结论是否保留 ACL 残迹对骨道扩大、术后疗效无相关性，但保留 ACL 残迹可以促进腱-骨愈合，降低骨道扩大的发生程度。
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