| 摘要 |
The purpose of this paper is to evaluate the surgical results of endoscopic bone-patellar tendon-bone anterior cruciate ligament (ACL) reconstruc-tion. Eleven patients, 4 males and 7 females had surgery between July 1993 and April 1995. Their ages ranged from 16-48 years (33.82-10.68). The causes of injury was sport-related in 5 and traffic accident induced in 6 patients.patients had endoscopic autogenous bone-patellar tendon-bone ACL reconstruction. The results were evaluated with physical examinations, KT-1000 arthrometer and Lysholm scores. The mean follow-up period was 26.8-6.7 months (20-33 months). Objective physical examinations done at the latest follow-up showed 1 patient had a 1-A Lachmann test, 3 patients had 1-A anterior drawer tests and 1 patient had a grade 1 pivot-shift test Subjectively all patients rated the results as satisfactory, except the patient with the grade 1 pivot-shift test, the result considered merely acceptable. Pre-operative KT-1000 maximum manual difference was 5.60+1.47 mm., which reduced to 1.60-0.65 mm at the latest follow-up. The pre-operative Lysholm score was 30.82-19.28 which improved to 87.19+9.38 at the latest follow-up. There was 1 patient who had an extension lag of 5 degrees and another had a flexion deficit (0-110 degrees). Ten patients still had quadriceps atrophy, 2.0-0.94 cm, at the latest follow-up. Though the number of cases was limited and the follow-up period was relatively short, the results were both satisfactory and encouraging. |
