Revision anterior cruciate ligament reconstruction and clinical research
10.3321/j.issn:0529-5815.2008.09.004
- VernacularTitle:前交叉韧带重建后翻修的临床研究
- Author:
Yong MA
1
;
Ying-Fang AO
;
Guo-Qing CUI
;
Jia-Kuo YU
;
Jian XIAO
;
Xi GONG
;
Hui YAN
;
Yu-Ping YANG
;
XU CHENG
;
Xing XIE
Author Information
1. 北京大学第三医院
- Keywords:
Anterior cruciate ligament;
Arthroscopy;
Reconstruction;
Revision
- From:
Chinese Journal of Surgery
2008;46(9):650-653
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the management principle of anterior cruciate ligament (ACL) revision reconstruction and the factors contributing to its result. Methods Twelve patients received ACL revision reconstructions from November 2001 to July 2006 were studied retrospectively.The indication of the operation, the management during the procedure and the clinical results were analyzed. Results All the patients had pathological instability after primary ACL reconstructions. In this group, 2 cases received primary bone transplantation. The other 10 cases received primary ACL revision reconstructions. Among them, 4 cases were reconstructed with STG obtained from the same lateral, 4 cases were obtained from the opposite lateral, 1 case was reconstructed with B-PT-B obtained from the same lateral and 1 case was reconstructed with iliotibiali tractus. One year later, the mean side-to-side difference of KT-2000 examination were 1.6mm and 3.1mm at 90°and 30°.The mean IKDC, Lysholm and Tegner scores were 72.8, 78.3 and 4.9. Conclusion The functional results and objective stability could be obtained through revision ACL reconstruction. However, outcomes are less favorable than those with primary reconstructions, which might be related to the factors including deficiency of previous surgery and impact of revision procedure.
