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影响前交叉韧带重建术疗效因素的临床研究 |
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;different gruops were evaluated.Effects on function of the joint of combined intraarticular injuries were analyzed.Results The Lysholm score and the Tegner activity score rose average 41.05±13.83 and 2.56±1.37 at followup respectively.Ten patients (15.15％) had obvious patellofemoral pain.There was no significant difference in the Lysholm score and the Tegner activity score between the acute，subacute and chronic group at followup.Statistical evaluation showed no significant difference for clinical result between groups with combined meniscal or medial collateral ligament injury and group without injury.Conclusion There was no difference in the clinical outcome between difference time of operation.The early surgery was suggested in order to protect articular cartilage and reconstruction stability of the knee.
Key words：anterior cruciate ligament；arthroscopy；reconstruction；outcome
前交叉韧带(anterior cruciate ligament，ACL)损伤是膝关节较为常见的损伤。尽管目前ACL重建技术已取得了良好的临床效果，但在影响疗效的多个方面仍有不同意见，如手术时间的选择，关节内合并损伤的影响等。本研究对一组ACL重建手术患者进行随访，分析比较了不同手术时机及是否合并损伤等因素对临床疗效的影响，为临床寻求合理的治疗方案提供参考。
1 材料与方法
1.1 一般资料 选择2004年3月至2006年8月由同一组医师进行，在关节镜下用两侧带骨块的自体中1/3髌腱移植，干涉螺钉固定方式完成的ACL重建手术病例。
病例排除标准包括：a)合并对侧肢体损伤或疾患；b)合并同侧膝关节后交叉韧带损伤或肢体骨折和损伤；c)既往有膝关节手术史，包括上一页 [1] [2] [3] [4] [5] [6] [7] 下一页
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