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目的探讨采用自体腘绳肌悬吊固定方法镜下重建青少年骨骺未闭合患者前交叉韧带(anterior cruciate ligament,ACL)的方法及疗效。方法在2010年6月、2011年4月采用自体腘绳肌悬吊固定方法重建2例青少年骨骺未闭患者,指导患者功能锻炼并对其进行随访,评定临床疗效。结果 2例患者分别获随访26、37个月,末次随访时,2例患者无不稳及疼痛主诉,膝关节稳定性良好,Lachman、ADT试验均阴性,活动范围分别为0~130°,0~142°,Lysholm膝关节评分分别由45、50分提高到术后的85、90分,未见任何内外翻畸形,肢体无缩短现象。结论采用腘绳肌悬吊固定方法重建青少年骨骺未闭患者前交叉韧带,可避免骨骺损伤,短期疗效满意,是重建骨骺未闭合青少年ACL的方法之一。
Objective To investigate the method and efficacy of reconstruction of anterior cruciate ligament (ACL) in patients with epiphyseal unopposed adolescence by autologous hamstring suspension fixation. Methods From June 2010 to April 2011, 2 cases of adolescent patients with epiphysis were reconstructed by autologous hamstring suspension fixation. The patients were followed up for functional exercise and their clinical effects were evaluated. Results Two patients were followed up for 26 and 37 months, respectively. At the last follow-up, two patients had no complaints of instability and pain, and the stability of knee joint was good. The Lachman and ADT tests were negative and the range of motion was 0-130 °, 142 °, Lysholm knee score from 45,50 points to 85,90 points after surgery, no valgus deformity, limb shortening phenomenon. Conclusion Reconstruction of the anterior cruciate ligament in patients with epiphyseal and patent infuencement by hamstring suspension method can prevent the epiphyseal injury and has satisfactory short-term curative effect. It is one of the methods to reconstruct the uncovered adolescent ACL.