Retrospective analysis and comparison of total internal disability preservation technique and standardized recon-struction technique
10.12200/j.issn.1003-0034.20221282
- VernacularTitle:全内保残技术与标准化重建技术在前交叉韧带重建中的疗效比较
- Author:
Wen-Ming JIN
1
;
Bao LI
;
Gen ZHAO
;
Han LI
;
Xin-Wei LIU
Author Information
1. 中国医科大学北部战区总医院骨科,辽宁 沈阳 110016
- Keywords:
Anterior cruciate ligament;
Total internal reconstruction technique;
Standard reconstruction technique;
Disability protection and reconstruction;
Knee arthroscopy
- From:
China Journal of Orthopaedics and Traumatology
2024;37(1):45-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and clinical results of total internal protection technique in anterior cru-ciate ligament reconstruction.Methods A total of 56 patients undergoing anterior cruciate ligament reconstruction treated from January 2018 to December 2019 were selected.According to the different surgical methods,they were divided into total inter-nal reconstruction group and standard bone tunnel group.There were 21 patients in the total internal reconstruction group,in-cluding 15 males and 6 females,aged from 20 to 48 with an average of(35.6±6.7)years old,and 35 patients in the standard tibial tunnel group,including 26 males and 9 females,aged 22 to 51 years old with an average of(33.7±9.6)years old.Preop-erative examination of Lachman test was positive,magnetic resonance indicated anterior cruciate ligament rupture.There were no significant differences between the two groups in age,sex,body mass index,time from injury to ACL reconstruction,com-bined meniscus injury and operation method,operation time,ligament diameter,ligament length and other general information.Postoperative evaluation included operation duration,length and diameter of transplanted tendon after braid.International Knee Documentation Committee(IKDC)score,Lysholm score,Tegner score and perioperative complications 2 years after surgery.Results Both groups were followed up,ranging from 24 to 30 months with an average of(26.9±3.4)months.Postoperative inci-sion healing was good,and no failure or joint infection occurred at the last follow-up.There was no statistically significant dif-ference between the two groups in IKDC score,Lysholm score and Tegner score before,1 year and 2 years after surgery.How-ever,IKDC score,Lysholm score and Tegner score at 1 year and 2 years after surgery.Conclusion The same postoperative function and stability of knee joint can be obtained by both the residual whole technique and the standardized reconstruction technique.In the residual whole group,only the semitendinosus muscle is taken,and the femoral thin muscle is retained,with greater tibial bone mass preserved,which is safe and effective in clinical practice.
