| 摘要: |
| 目的 探讨关节镜下清理联合交叉韧带重建治疗痛风性膝前交叉韧带病理损伤患者的临床疗效。方法 回顾性分析2015年1月至2020年1月在首都医科大学附属北京朝阳医院就诊的22例痛风性膝前交叉韧带病理性损伤并行关节镜下重建治疗的患者资料。所有患者符合痛风诊断标准，有膝关节红肿、疼痛和活动受限等临床症状，MRI检查提示前交叉韧带连续性消失或模糊。通过术前及术后不同随访时间点的Lysholm评分和Kujala评分对膝关节进行疗效评估，并记录并发症的发生情况。采用配对t检验进行术前及术后评分的比较。结果 22例患者均为男性，年龄为19～56岁，平均年龄为（32.4±5.1）岁。左侧病变10例、右侧病变12例。22例患者术后均按照康复计划进行功能锻炼，随访时间为3～48个月。术后不同随访时间点患者的Lysholm评分、Kujala评分均高于术前，且术后1、3、6、12个月的评分与术前比较差异均有统计学意义（P均<0.05）。结论 对于痛风性膝前交叉韧带病理损伤的患者，早期进行前交叉韧带重建术可获得满意的临床效果，并能提高患者的运动能力。 |
| 关键词: 关节镜检查 痛风 前交叉韧带损伤 前交叉韧带重建 |
| DOI：10.16781/j.0258-879x.2021.08.0937 |
| 投稿时间：2020-11-20修订日期：2021-02-03 |
| 基金项目: |
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| Clinical effect of arthroscopic reconstruction in the treatment of gouty anterior cruciate ligament injury |
| ZHANG Bo*,REN Shi-xiang,LIN Yuan |
(Department of Orthopaedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the clinical efficacy of arthroscopic debridement and cruciate ligament reconstruction in the treatment of gouty anterior cruciate ligament (ACL) pathological injury. Methods The data of 22 patients with arthroscopic reconstruction in the treatment of gouty ACL pathological injury, who visited Beijing Chao-Yang Hospital of Capital Medical University from Jan. 2015 to Jan. 2020, were retrospectively analyzed. All patients met the diagnostic criteria of gout and had clinical symptoms such as redness and swelling of the knee joint, pain and limited activity. Magnetic resonance imaging (MRI) indicated that the continuity of anterior cruciate ligament was lost or blurred. The efficacy was evaluated by Lysholm score and Kujala score before operation and at different follow-up points after operation, and the complications were recorded. Paired t-test was used to compare the preoperative and postoperative scores. Results All the 22 patients were males, aged from 19 to 56 years, with an average age of (32.4±5.1) years, and with 10 lesions on the left and 12 on the right. All the patients received functional exercise according to the rehabilitation plan. The follow-up duration was 3-48 months. The Lysholm scores and Kujala scores of patients at different follow-up points after operation were significantly higher than those before operation, and there were significant differences in the scores at 1 month, 3 months, 6 months and 12 months after operation compared with those before operation (all P<0.05). Conclusion For patients with gouty ACL pathological injury, early anterior cruciate ligament reconstruction can achieve satisfactory clinical results and improve patients’ physical exercise ability. |
| Key words: arthroscopy gout anterior cruciate ligament injuries anterior cruciate ligament reconstruction |
