Arthroscopic reconstruction of anterior cruciate ligament by Moriya’s method
- VernacularTitle:关节镜下Moriya法重建膝前交叉韧带
- Author:
Song LI
;
Qi GONG
;
Yisheng ZHANG
;
- Publication Type:Journal Article
- Keywords:
Arthroscopy;
Anterior cruciate ligament (ACL);
Iliotibial tract;
Gracilis tendon;
Reconstruction
- From:
Chinese Journal of Orthopaedic Trauma
2002;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report arthroscopic reconstruction of anterior cruciate ligament (ACL) with iliotibial tract autograft and gracilis tendon by Moriya s method and to evaluate its clinical results. Methods The iliotibial tract autograft of about one third length was dissected with the tibial attachment kept. Then the trimmed gracilis tendon was wrapped in the iliotibial tract to reconstruct ACL. 16 patients (12 males and 4 females) were treated in this way. The anterior drawer test and the Lachman s test were all positive before operation, indicating that anteromedial and posterolateral bundles of ACL were totally broken, which was proved by arthroscopy. Results All patients were followed up for 4 to 17 months (mean 9 months). According to the criteria for knee ligament function evaluation set up by Japanese Association of Orthopaedics( JOA) , 10 patients scored ≥ 90 points, 5 patients 80 to 90 points, and 1 patient ≤ 80 points.The excellent and good rate was 93.75% . Conclusion Iliotibial tract autograft transfer with gracilis tendon to reconstruct ACL under arthroscopy boasts convenience in harvesting grafts, simplicity in performance and excellent results, without evidence of damaging extension and flexion tendons of the knee or causing patellofemoral pain. [
