Comparative Study of Clinical Application of Fixed-loop and Adjustable-loop in Arthroscopic Anterior Cruciate Ligament Reconstruction With Excessively Short Femoral Tunnel
10.3969/j.issn.1009-6604.2024.12.001
- VernacularTitle:股骨骨道过短的膝关节镜下前交叉韧带重建术中固定襻与可调襻应用的比较研究
- Author:
Yu YIN
1
;
Yu MEI
1
;
Zegang WANG
1
;
Wenjie WU
1
;
Pengfei LIU
1
;
Pengfeng HE
1
;
Shouyi SONG
1
;
Xing XIE
1
Author Information
1. 北京大学第三医院运动医学科,北京 100191
- Publication Type:Journal Article
- Keywords:
Anterior cruciate ligament reconstruction;
Femoral tunnel fixation;
Excessively short femoral tunnel
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(12):785-790
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of fixed-loop fixation and adjustable-loop fixation in arthroscopic anterior cruciate ligament(ACL)reconstruction with excessively short femoral tunnel.Methods A total of 493 patients undergoing ACL reconstruction at our hospital from January 2019 to July 2020 were reviewed,including 57 patients with femoral tunnel＜30 mm and 47 patients ultimately included.According to the fixation method,they were divided into EndoButton group(n=31)and TightRope group(n=16).The International Knee Documentation Committee(IKDC)score,Lysholm score,and Tegner score were used to evaluate joint function at 6 and 12 months postoperatively,respectively.The Lachman test and anterior drawer test were used to evaluate joint laxity at 12 months postoperatively.The clinical effects of the two fixation methods were compared.Results At 6 months postoperatively,the IKDC scores of the EndoButton group and TightRope group were(64.1±11.0)points and(62.6±9.2)points,respectively,with no significant difference(t=0.464,P=0.645).The Lysholm scores were(81.9±10.6)points and(85.3±9.3)points,with no significant difference(t=-1.079,P=0.286).The Tegner scores were(2.2±0.9)points and(1.9±0.9)points,with no statistically significant difference(t=0.933,P=0.356).At 12 months postoperatively,the IKDC scores of the EndoButton group and TightRope group were(81.4±9.3)points and(78.2±9.2)points,with no statistically significant difference(t=1.068,P=0.291).The Lysholm scores were(94.6±6.1)points and(93.4±7.4)points,with no statistically significant difference(t=0.626,P=0.534).The Tegner scores were(3.8±1.0)points and(3.4±1.2)points,with no statistically significant difference(t=1.402,P=0.168).There was no significant difference in the Lachman test and front drawer test between the two groups at 12 months after surgery(Z=-0.039,P=0.969;Z=-0.294,P=0.769).Conclusion In arthroscopic ACL reconstruction surgery,both EndoButton(15 mm)and TightRope can achieve good clinical results for excessively short femoral tunnel(＜30 mm).
