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find Author "傅永慧" 2 results
  • ANTERIOR CRUCIAL LIGAMENT RECONSTRUCTION WITH ALLOGRAFT HAMSTRING FIXED BY RIGIDFIX AND INTRAFIX ANCHORAGES

    Objective To explore an improved reconstruction of the anterior crucial ligament (ACL) with the allograft hamstring fixed by the Rigidfix and Intrafix anchorages and to evaluate its therapeutic effectiveness in a short term. Methods The ACL reconstruction was performed under the arthroscope on 21 patients’ knees from Janaury 2006 to December 2006. There were 13 males and 8 females aged from 18 to 53 years. The injuries were caused by a traffic accident in 7 patients, a movement damage in 11, and other factors in 3. The medial collateral ligament(MCL) and the medial meniscus were injured in 10 patients, the medial meniscus andthe lateral meniscus were injured in 3, the lateral meniscus was injured in 6, and only the ACl was injured in 2. The operations were performed 7 days to 3 monhs after the injuries. The graft used was the fourstranded allograft hamstring, which was fixed by the Rigidfix and Intrafix anchorages. The therapeutic effect was evaluated according to the Lysholm rating scale. Results The follow-up of all the 21 patients for 3-9 months (average, 5.8 months) revealed that the knees of 19 patients could move beyond 120° after operation. In 1 patient who had the MCL injury, the range of genuflex was limited to 80° at 3 months after operation, and so the operation of lysis was performed under thearthroscope again. In 1 patient, the rejection against the allograft was treated by the irrigating under the arthroscope but had little effect. The anterior drawer test and the pivot shift test were negative in the 21 patients. During the Lanchman test, 1 patient had a positive result (Degree Ⅰ). The Lysholm scores were significantly increased from 56.73±6.58 to 88.14±7.02 (P<0.01). Conclusion The surgical approach to reconstruction of ACL with the fourstranded allograft hamstring fixed by the Rigidfix and Intrafix anchorages is feasible and safe. The resulting fixation is reliable. The patients can begin their postoperative rehabilitation exercise earlier and their movement function can be restored earlier. 

    Release date:2016-09-01 09:23 Export PDF Favorites Scan
  • 关节镜下平行丝线法治疗前交叉韧带撕脱骨折

    【摘 要】 目的 总结和分析关节镜下套管针引导平行丝线固定法修复前交叉韧带胫骨止点撕脱骨折的手术方法和疗效。 方法 2001 年1 月- 2005 年12 月,收治前交叉韧带胫骨止点撕脱骨折17 例,其中男12 例,女5 例;年龄11 ~ 48 岁。新鲜骨折14 例,陈旧骨折3 例。按Meyers-Mckeever 分型,Ⅱ型5 例,Ⅲ A 型8 例,Ⅲ B 型4 例,术前Lysholm 膝关节功能评分57.3 分。术后在支具保护下行功能锻炼,定期随访,摄X 线片,观察、测量关节活动度及关节稳定性,术后行Lysholm 膝关节功能评分。 结果 全部获随访6 ~ 28 个月,平均12.7 个月。膝关节活动度恢复正常者13 例;不同程度受限3 例,但关节活动度均超过100º,为伴内侧副韧带损伤者;1 例陈旧骨折患者,术后过早去除支具功能锻炼,骨折未愈合,关节不稳,1 年后二次行前交叉韧带重建术,效果满意。16 例术后6 个月复查,X 线片示均解剖复位并骨折愈合,无关节不稳;Lysholm 评分97.8 分。 结论 关节镜下利用2 条平行线固定法治疗前交叉韧带胫骨止点撕脱骨折,对前交叉韧带及骨块损伤小,骨折复位简便,固定范围广且可靠,应力承载面积大,受力均匀,能防止骨折块碎裂、旋转或上撬。

    Release date:2016-09-01 09:09 Export PDF Favorites Scan
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