MEDLINE/PubMed Journal Browser Search

Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

Title: [Study on reconstruction of posterior cruciate ligament with autologous peroneus longus tendon under arthroscopy].
Author: Zhong H, Jin Y, Wu S, Liu Y.
Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2021 Feb 15; 35(2):166-170. PubMed ID: 33624468.
Abstract:
OBJECTIVE: To discuss the effectiveness of posterior cruciate ligament (PCL) reconstruction with autologous peroneus longus tendon under arthroscopy. METHODS: Between January 2016 and December 2018, 46 patients with PCL injuries were enrolled. There were 34 males and 12 females, with an average age of 40.7 years (range, 20-58 years). There were 43 cases of acute injury and 3 cases of old injury. The anterior drawer test and the posterior tibia sign were positive in 4 cases, the posterior drawer tests and the posterior tibia sign were positive in 46 cases, the varus stress tests were positive in 10 cases, and the valgus stress tests were positive in 6 cases. The difference of dial-test at 30° knee flexion between affected and healthy sides was (5.20±3.91)°. The tibia posterior displacement under posterior stress position was (12.03±2.38) mm. The Lysholm score of the knee joint was 36.68±7.89, the International Knee Documentation Committee (IKDC) score was 33.58±5.97, and the American Orthopaedic Foot and Ankle Association (AOFAS) score of the ankle joint was 97.60±1.85. PCL was reconstructed with autologous peroneus longus tendon under arthroscopy, and the combined meniscus injury, posterolateral complex injury, and anterior cruciate ligament injury were all treated according to the degree of injury. RESULTS: All incisions healed by first intention. Forty patients were followed up 12-26 months, with an average of 16.0 months. At last follow-up, the Lysholm score of the knee joint was 84.85±7.03, and the IKDC score was 87.13±6.27, which were significant different from preoperative ones ( t=-13.45, P=0.00; t= -39.12, P=0.00); the AOFAS score of ankle joint was 93.98±2.14, which was not significant different from preoperative one ( t=8.09, P=0.90). The tibia posterior displacement under posterior stress position was (2.75±1.76) mm and the difference of dial-test at 30° knee flexion between affected and healthy sides was (1.75±2.09)°, which were significant different from preoperative ones ( t=29.00, P=0.00; t=4.96, P=0.00). The posterior drawer test and the posterior tibia sign were positive in 1 case and negative in 39 cases; the anterior drawer test and the varus and valgus stress tests were all negative. CONCLUSION: Reconstruction of PCL with autologous peroneus longus tendon under arthroscopy can significantly improve the stability and function of the knee joint, with satisfactory clinical results. 目的: 探讨关节镜下自体腓骨长肌腱重建膝关节后交叉韧带（posterior cruciate ligament，PCL）的疗效。. 方法: 2016 年 1 月—2018 年 12 月，收治 46 例膝关节 PCL 损伤患者。男 34 例，女 12 例；年龄 20～58 岁，平均 40.7 岁。急性损伤 43 例，陈旧性损伤 3 例。术前前抽屉试验阳性 4 例、后抽屉试验及胫骨后沉征阳性 46 例，内翻应力试验阳性 10 例、外翻应力试验阳性 6 例；屈膝 30° 位拨号试验患健侧差值为（5.20±3.91）°；后向应力位胫骨后移距离（12.03±2.38）mm。膝关节 Lysholm 评分为（36.68±7.89）分，国际膝关节文献委员会（IKDC）评分为（33.58±5.97）分，踝关节美国矫形足踝协会（AOFAS）评分为（97.60±1.85）分。关节镜下采用自体腓骨长肌腱解剖重建 PCL，合并的半月板损伤、后外侧复合体损伤及前交叉韧带损伤均根据损伤程度进行对应处理。. 结果: 术后切口均Ⅰ期愈合。40 例患者获随访，随访时间 12～26 个月，平均 16.0 个月。末次随访时，膝关节 Lysholm 评分为（84.85±7.03）分、IKDC 评分为（87.13±6.27）分，与术前比较差异均有统计学意义（ t=−13.45， P=0.00； t=−39.12， P=0.00）；踝关节 AOFAS 评分为（93.98±2.14）分，与术前比较差异无统计学意义（ t=8.09， P=0.90）。后向应力位胫骨后移距离为（2.75±1.76）mm、屈膝 30° 位拨号试验患健侧差值为（1.75±2.09）°，与术前比较差异均有统计学意义（ t=29.00， P=0.00； t=4.96， P=0.00）。后抽屉试验及胫骨后沉征阳性 1 例，阴性 39 例；前抽屉试验以及内、外翻应力试验均为阴性。. 结论: 关节镜下自体腓骨长肌腱重建 PCL 能显著改善膝关节稳定性和功能，临床疗效满意。.

[Abstract] [Full Text] [Related] [New Search]