Application value of femoral intercondylar notch plasty in quadruple hamstring tendon reconstructing for old anterior cruciate ligament injury
10.3760/cma.j.issn.1673-4904.2012.11.006
- VernacularTitle:陈旧性前交叉韧带损伤四股腘绳肌腱重建中髁间窝成形术的应用价值
- Author:
Guangjun REN
;
Youzhuan XIE
;
Jin SU
;
Lei SUN
- Publication Type:Journal Article
- Keywords:
Anterior cruciate ligament;
Hamstring tendon;
Intercondylar notch plasty
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(11):16-19
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate clinical efficacy of reconstructing for old anterior cruciate ligament(ACL) injury with quadruple hamstring tendon,and application value of femoral intercondylar notch plasty.Methods Fifty-six cases of old ACL injury were reconstructed arthroscopically with quadruple hamstring tendon.Forty-five cases were used femoral intercondylar notch plasty.Preoperative Lachman test were positive,and ACL injury were confirmed by MRI.The curative effect was evaluated according to Lysholm knee score and KT-1000 measurement results.ResultsAll of the 56 patients were followed up for 6-24 (13.0 ± 4.2) months.Postoperative Lachman test of 53 cases were negative,and 3 cases were weak positive.The Lysholm knee score increased from preoperative (56.0 ± 7.3) scores to postoperative (93.0 ± 3.5 ) scores,comparison of preoperative had significant difference (t =34.20,P ＜ 0.01 ).The postoperative KT-1000 measurement showed ＜ 3.0 mm side difference of anterior laxity,moving average of(2.0 ± 0.6) mm,comparison of preoperative ≥ 3.0 mm,moving average of (3.0 ± 1.2 ) mm had significant difference (t =5.58,P ＜ 0.01 ).ConclusionsArthroscopic reconstruction of ACL with quadruple hamstring tendon have a good effect.The postoperative rehabilitation exercise can practise early.The femoral intercondylar notch plasty which used during operation is benefit of decreasing femoral intercondylar notch impingement syndrome,accurate positioning femur tunnel,and increasing curative effect.
