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  • west china medical publishers
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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
    • 關節鏡下平行絲線法治療前交叉韌帶撕脫骨折

      【摘 要】 目的 總結和分析關節鏡下套管針引導平行絲線固定法修復前交叉韌帶脛骨止點撕脫骨折的手術方法和療效。 方法 2001 年1 月- 2005 年12 月,收治前交叉韌帶脛骨止點撕脫骨折17 例,其中男12 例,女5 例;年齡11 ~ 48 歲。新鮮骨折14 例,陳舊骨折3 例。按Meyers-Mckeever 分型,Ⅱ型5 例,Ⅲ A 型8 例,Ⅲ B 型4 例,術前Lysholm 膝關節功能評分57.3 分。術后在支具保護下行功能鍛煉,定期隨訪,攝X 線片,觀察、測量關節活動度及關節穩定性,術后行Lysholm 膝關節功能評分。 結果 全部獲隨訪6 ~ 28 個月,平均12.7 個月。膝關節活動度恢復正常者13 例;不同程度受限3 例,但關節活動度均超過100o,為伴內側副韌帶損傷者;1 例陳舊骨折患者,術后過早去除支具功能鍛煉,骨折未愈合,關節不穩,1 年后二次行前交叉韌帶重建術,效果滿意。16 例術后6 個月復查,X 線片示均解剖復位并骨折愈合,無關節不穩;Lysholm 評分97.8 分。 結論 關節鏡下利用2 條平行線固定法治療前交叉韌帶脛骨止點撕脫骨折,對前交叉韌帶及骨塊損傷小,骨折復位簡便,固定范圍廣且可靠,應力承載面積大,受力均勻,能防止骨折塊碎裂、旋轉或上撬。

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