The Clinical Study of Anterior Cruciate Ligament Reconstruction Using Anterior Tibial Muscle Tendons Allograft and Hamstring Tendon Autograft
- VernacularTitle:同种异体胫前肌腱和自体腘绳肌腱重建前交叉韧带临床研究
- Author:
Jiakuan YE
;
Hongyun LI
;
Shiyi CHEN
;
Jiwu CHEN
;
Yinghui HUA
;
Xiaolin CAO
;
Qing LI
;
Yi ZHEN
;
Guangbao XI
- Publication Type:Journal Article
- Keywords:
arthroscopy;
allograft;
anterior cruciate ligament;
reconstruction
- From:Chinese Journal of Sports Medicine
2010;(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical results of anterior cruciate ligament(ACL)reconstruction using anterior tibial muscle tendons allograft and hamstring tendons autograft.Methods According to the graft used for ACL reconstruction,60 patients with chronic ruptures of ACL were divided into group A(30 patients,using anterior tibial muscle tendons allograft)and group B(30 patients,using semitendinosus and gracilis tendons autograft).The average follow-up periods after surgery were 29.4 and 31.6 months respectively.Lysholm,Tegner,IKDC clinical rating scales and KT2000 were used for evaluation pre-and post-operation.The muscle strength of the extension,flexion,internal rotation and external rotation of knees was evaluated by the isokinetic tester.Results There were statistically significant differences in Lysholm,Tegner,IKDC clinical rating scales and KT2000 results between pre-and postoperation(P<0.01).However,there were no statistically significant differences between group A and group B after operation(P>0.05).The Isokinetic muscle strength tester showed that the knee muscle strength of the internal rotation and flexion were decreased post-operative in group B,rather than group A,which showed no significant differences between pre-and post.operation(P<0.05).Conclusion For ACL reconstruction under arthroscopy,anterior tibial muscle tendons allograft was a favorable substitute for autograft materials for its convenience,satisfactory clinical effect and less complications.
