实用医学杂志 ›› 2022, Vol. 38 ›› Issue (4): 395-398.doi: 10.3969/j.issn.1006⁃5725.2022.04.001

• 专题报道 •    下一篇

关节镜下应用RigidFix 或RigidLoop 固定在膝前交叉韧带重建中的临床疗效比较

叶俊星 戴涟生 程飞 杨晓斐 杨志刚 黄辉 徐瑞生 袁凤来   

  1. 江南大学附属医院骨科(江苏无锡 214000)

  • 出版日期:2022-02-25 发布日期:2022-02-25
  • 通讯作者: 袁凤来 E⁃mail:bjjq88@163.com;徐瑞生 E⁃mail:xu86226@foxmail.com
  • 基金资助:
    江苏省自然科学基金面上项目(编号:BK20191141);新三名后备拔尖人才(编号:HB2020043);无锡市卫健委科研面上项目(编号:M202119)

Arthroscopic fixation with RigidFix vs. RigidLoop in anterior cruciate ligament reconstruction:A compar⁃ative study 

YE Junxing,DAI Liansheng,CHENG Fei,YANG Xiaofei,YANG Zhigang,HUANG Hui,XU Ruish⁃eng,YUAN Fenglai   

  1.  Department of Orthopedics,the Affiliated Hospital of Jiangnan University,Wuxi 214000,China

  • Online:2022-02-25 Published:2022-02-25
  • Contact: YUAN Fenglai E⁃mail:bjjq88@163.com;XU Ruisheng E⁃mail:xu86226@foxmail.com

摘要:

目的 探讨膝关节镜下使用横穿钉(RigidFix)和可调悬吊钛板(RigidLoop)重建膝关节前交叉韧带(ACL)的临床效果。方法 从 2016 年 6 月开始,在全关节镜下运用 RigidFix 或 RigidLoop 对 121 例ACL断裂患者进行重建。所有患者随机分成两组,其中,RigidFix组61例,RigidLoop组60例。两组患者术前MRI 明确诊断为 ACL 断裂,RigidFix 组与 RigidLoop 组 Lysholm 评分比较,差异无统计学意义[(49.5 ± 6.5)vs.(48.9 ± 6.7),P > 0.05]。结果 对 121 例患者均进行随访,随访时间为(27.9 ± 3.5)个月。随访结束时,RigidFix 组 Lysholm 评分与 RigidLoop 组比较,差异无统计学意义[(91.7 ± 3.9)vs.(91.5 ± 3.8),P > 0.05];RigidFix 组 IKDC 评分:正常和接近正常 58 例,不正常 2 例,严重不正常 1 例,优良率 95.1%;RigidLoop 组IKDC 评分:正常和接近正常 56 例,不正常 3 例,严重不正常 1 例,优良率 93.3%。两组比较差异无统计学意义(P > 0.05)。结论 使用 RigidFix 或 RigidLoop 重建膝关节前交叉韧带,患者的膝关节均可获得解剖学重建和稳定性。

关键词:

韧带, 关节镜, 横穿钉, 可调悬吊钛板

Abstract:

Objective To investigate the clinical effects of knee arthroscopic reconstruction of anteriorcruciate ligament(ACL)with RigidFix and RigidLoop. Methods From June 2016,121 patients with ACL ruptureunderwent anterior cruciate ligament reconstruction with Rigidfix or Rigidloop under total arthroscopy. patientsThey volunteered to be randomly divided into two groups:Rigidfix group(n = 61)and Rigidloop group(n = 60).The ACL ruptures in the two groups were diagnosed preoperatively by MRI,without significant difference inLysholm score between the Rigidfix group and Rigidloop group[(49.5 ± 6.5)vs.(48.9 ± 6.7),P > 0.05]. Results All of the patients were followed up for(27.9 ± 3.5)months. At the end of follow⁃up,the Lysholm scores of theRigidfix and Rigidloop group were(91.7 ± 3.9)and(91.5 ± 3.8),respectively. The IKDC scores of the Rigidfixgroup were normal and close to normal in 58 cases,abnormal in 2 cases,much more abnormal in 1 case,with anexcellent rate of 95.1%,and the IKDC scores of the Rigidloop group were normal and close to normal in 56 cases,abnormal in 3 cases and much more abnormal in 1 case with an excellent rate of 93.3%. There were no significantdifferences between the two groups(P > 0.05). Conclusion Both RigidFix and RigidLoop under total arthroscopycan achieve anatomical reconstruction and stability of knee joints of patients with ACL ruptures.

Key words:

ligament, arthroscopy, RigidFix, RigidLoop