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Arthroscopic Knee Anterior Cruciate Ligament Reconstruction JinZhongQi Clinical Curative Effect

Posted on:2012-02-02Degree:MasterType:Thesis
Country:ChinaCandidate:Y H ZhuFull Text:PDF
GTID:2154330332499769Subject:Surgery
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Objective:Research arthroscopic Anterior cruciate ligament (Anterior cruciate ligament reconstruction postoperative curative effect) ACL and make statistical analysis, and discusses ACL reconstructive surgery and relevant clinical problems after surgery, the focus on increasing the stability, promote ligament graft again vascularization and proper reconstruction materials, arthroscopic minimally invasive surgery and early postoperative recovery..Methods:Through the use of ACL before and after the reconstruction of repair of the clinical data obtained data were retrospectively analysed. Jilin university hospital bone surgery sino-japanese fellowship since March 2009 March to 2011 anterior cruciate ligament of isolationⅢdegrees of anterior cruciate ligament (ACL injury or mergeⅡdegrees Celsius to the inside of the ligamentous MCL) injury (between total 42 patients were retrospectively, among which men in 29 cases, women in 13, female ratio 2.23:1, at the age of 19 to 35, average age 28.64 years old. Which left knee 18 cases, right knee 24). Each patient before and after operation were performed on international recognition of Lysholm and Tegner [56. 57] knee functional score, and the statistical comparison analysis.Results:42 patients had the appendectomy follow-up, follow-up time 12.2~a career-high 21.6 (weaker+3.5) months, all the patients were followed-up knee stability, and knee pain, such as the noose symptoms disappeared, after eight weeks arom overall recovery. Lysholm ratings by preoperative 48.08+6.25 points increased to postoperative 85.71+3.68 points, greup (t= 11.73, p< 0.05). Tegner ratings by pre-operative was 2.86+0.69 points increased to postoperative 8.43+0.79 points, greup (t= 13.00, p< 0.05). curative effect in 36 cases, accounting for optimal 85.71%, Good 9.52%; 4 cases, accounting for The total rate for 95.23%.Conclusions:this paper collected and sorted out a March 2009 to March 2011 china-japan friendship between jilin university hospital bone surgical treatment of 42 patients with clinical data of 42 patients with ACL injury cases full of patients, hospital treatment results and follow-up test results were retrospectively analyzed, preoperative and postoperative knee stability and Lysholm score by statistical analysis is compared, and concluded that both autologous group, allograft group, or artificially group, through the 2 years of follow-up,80 percent of the patients Lachman postoperative knee stability evaluation through experiment and the axis shift test, autologous group (the popliteal rope muscle tendon) has significant superiority, but in joint function scoring short-term inside three groups do not have apparent differences. Anyhow, anterior cruciate ligament reconstruction surgery procedures improvement, to rebuild idea constantly updated and progress, improving steadily the effect, tunnel position, graft selection, fixed way, postoperative rehabilitation influence the main factors of the effect, still need to multicenter, large sample, comparative clinical research and more long-term, the more extensive follow-up study.
Keywords/Search Tags:ACL injury, arthroscopy, ACL reconstruction
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