兰海成都大学附属医院骨科，四川成都　610081

锚钉修复膝内侧副韧带损伤的临床研究

兰海
成都大学附属医院骨科，四川成都610081

目的 分析锚钉治疗膝关节内侧副韧带损伤的效果。方法 回顾分析2013年6月～2015年1月应用锚钉治疗内侧副韧带损伤的病例。观察对比治疗前后的症状、体征，采用Lysholm评分标准对其疗效进行评价。结果19例应用锚钉治疗内侧副韧带损伤的病例随访9～21个月，平均15个月。应用Lysholm评分系统评价关节功能，术前Lysholm评分32～36分，平均（33.0±1.2）分；术后Lysholm评分85～100分，平均（91.4±4.0）分。术后关节功能明显恢复，Lysholm评分高于术前。术后X线片显示锚钉在骨内无松动，关节间隙内外侧对称。结论 对于内侧副韧带损伤的病例，早期应用锚定修复断裂韧带，能有效恢复关节功能，治疗效果明显。

内固定术；内侧副韧带；膝关节；损伤

［Abstract］Objective To analyze the effect of anchor fixation in treatment of knee medial collateral ligament injury. Methods Patients of anchor fixation in treatment of knee medial collateral ligament injury from June 2013 to January 2015 were reviewed and analyzed.The symptoms and signs before and after treatment were observed and compared. The efficacy was evaluated by Lysholm scoring system.Results 19 cases of anchor fixation in treatment of knee medial collateral ligament injury were followed up for 9 to 21 months，with an average of 15 months.The knee function was evaluated by Lysholm scoring system.The Lysholm scores were 32-36 scores before operation，with an average of （33.0±1.2）scores，and were 85-100 scores after operation，with an average of（91.4±4.0）scores.After operation，the knee function was significantly improved and the Lysholm scores were significantly higher than those before treatment.Results of X-ray examination showed no loosening of anchors and symmetry of lateral and medial joint space.Conclusion Early application of anchor fixation in patients with knee medial collateral ligament injury can effectively improve the knee function with significant therapeutic effect.

［Key words］Internal fixation；Medial collateral ligament；Knee；Injury

随着交通伤、运动伤的日益增多，临床上可见大量膝部韧带损伤的病例，其中膝关节内侧副韧带损伤发病率很高，有报道显示其占膝关节韧带损伤的46.2%［1］，其中以股骨内髁止点处断裂最为多见。膝关节内侧副韧带在膝关节内侧稳定结构中扮演重要角色，确保了保持膝关节的稳定性。若治疗方法不当，易导致韧带损伤不愈合，或瘢痕愈合、粘连，导致膝关节不稳、关节活动障碍，继发创伤性关节炎的发生。本研究应用带线锚钉修复韧带损伤治疗Ⅲ度膝关节内侧副韧带损伤患者19例，治疗效果满意，现报道如下。

1　资料与方法

1.1一般资料

2013年6月～2015年1月应用锚钉治疗内侧副韧带损伤患者19例，其中男11例，女8例；……