膝关节镜常规前入路联合后内侧入路对后交叉韧带损伤患者的治疗效果分析OA
Analysis of the Therapeutic Effect of the Conventional Anterior Approach Combined with the Posterior Medial Approach of Knee Arthroscopy on Patients with Posterior Cruciate Ligament Injury
目的:探究膝关节镜常规前入路联合后内侧入路对后交叉韧带损伤患者的治疗效果.方法:回顾性分析2021年5月—2024 年 5月临沂市中心医院收治的 81例后交叉韧带损伤患者资料,根据入路方案的不同将其分为对照组(n=40)和研究组(n=41).所有患者均于 2024年 5月前完成术后 6个月的随访.对照组采用膝关节镜常规前方入路,研究组采用膝关节镜常规前入路联合后内侧入路.比较两组膝关节功能、膝关节活动度、并发症发生情况.结果:术后 3、6个月,两组Lysholm膝关节、国际膝关节文献委员会膝关节评估表(IKDC)评分均高于术前,且研究组均高于对照组;术后 6个月,两组Lysholm膝关节、IKDC评分均高于术后 3个月,差异均有统计学意义(P<0.05).术后 3、6个月,两组膝关节活动度均大于术前,且研究组均大于对照组;术后 6个月,两组膝关节活动度均大于术后 3个月,差异均有统计学意义(P<0.05).两组并发症发生率分别为10.00%、7.32%,差异无统计学意义(P>0.05).结论:膝关节镜常规前入路联合后内侧入路在后交叉韧带损伤治疗中具有显著优势,可改善患者膝关节功能、提升膝关节活动度、降低并发症风险,较传统前入路具有较高应用价值.
Objective:To explore the therapeutic effect of the conventional anterior approach combined with the posterior medial approach of knee arthroscopy on patients with posterior cruciate ligament injury.Methods:A retrospective analysis was conducted on the data of 81 patients with posterior cruciate ligament injury admitted to Linyi Central Hospital from May 2021 to May 2024.They were divided into a control group(n=40)and a study group(n=41)according to different approach regimen.All patients completed the 6-month follow-up after the operation before May 2024.The control group adopted the conventional anterior approach of knee arthroscopy,while the study group adopted the conventional anterior approach combined with the posterior medial approach of knee arthroscopy.The knee joint function,knee joint range of motion and the occurrence of complications were compared between the two groups.Results:At 3 and 6 months after the operation,the scores of Lysholm Knee Joints and the International Knee Documentation Committee Knee Assessment Form(IKDC)in both groups were higher than those before the operation,and the study group were higher than the control group;at 6 months after the operation,the scores of Lysholm knee joints and IKDC in both groups were higher than those at 3 months after the operation,the differences were statistically significant(P<0.05).At 3 and 6 months after the operation,the range of motion of the knee joints in both groups were greater than those of before the operation,and the study group was greater than the control group;at 6 months after the operation,the range of motion of the knee joints in both groups were greater than those at 3 months after the operation,the differences were statistically significant(P<0.05).The incidences of complications in the two groups were 10.00%and 7.32%respectively,the difference was not statistically significant(P>0.05).Conclusion:The conventional anterior approach of knee arthroscopy combined with the posterior medial approach has significant advantages in the treatment of posterior cruciate ligament injury.It can improve the knee joint function of patients,increase the range of motion of the knee joint,and reduce the risk of complications.Compared with the traditional anterior approach,it has higher clinical value application.
孙守密
山东省临沂市中心医院骨关节外科,山东 临沂 276000
医药卫生
后交叉韧带损伤保留后纵隔入路膝关节功能并发症
Posterior cruciate ligament injuryRetention of posterior compartmentApproachKnee joint functionComplications
《中国伤残医学》 2025 (8)
6-9,4
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