Observation of the clinical efficacy of all-inside technique for the reconstruction of anterior cruciate ligament of the knee joint
- VernacularTitle:膝关节前交叉韧带全内技术重建的临床疗效观察
- Author:
Kai ZHANG
1
;
Xu-ren GAO
Author Information
- Publication Type:Journal Article
- Keywords: anterior cruciate ligament fracture; arthroscopy; all-inside technique; traditional technique
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(7):559-563
- CountryChina
- Language:Chinese
- Abstract: Objective To compare the efficacy of all-inside technique versus traditional technique for the reconstruction of anterior cruciate ligament(ACL)of the knee joint.Methods A total of 65 patients with ACL rupture of the knee joint in Suqian Zhongwu Hospital from December 2019 to December 2023 were included and divided into the two groups according to random number table method.Thirty-two patients in the traditional group were given arthroscopic traditional technique for reconstruction,and 33 patients in the all-inside group were given arthroscopic all-inside technique for reconstruction.The positive rates of Lachman's sign and anterior drawer test,pain visual analogue scale(VAS)score,International Knee Literature Committee(IKDC)score,range of motion of knee joint,circumference of knee joint,and surgical indicators were compared between the two groups.Results The positive rates of Lachman's sign and anterior drawer test in the all-inside group were both lower than those in the traditional group(P<0.05).The all-inside group showed lower VAS scores(P<0.05)and higher IKDC score than those in the traditional group 3 and 6 months after surgery(P<0.05).The all-inside group demonstrated greater range of motion of the knee joint(P<0.05)and shorter circumference of the knee joint than those in the traditional group 3 and 6 months after surgery(P<0.05).The graft diameter of patients in the all-inside group was shorter than that in the traditional group(P<0.05),while its operation time and intraoperative blood loss were not significantly different from the traditional group(P>0.05).Conclusion The intraoperative blood loss and operation time of arthroscopic all-inside technique for reconstruction of ACL rupture are comparable to those of traditional technique.However,the all-inside technique has shorter graft diameter,which can effectively alleviate postoperative pain of patients,improve knee joint function,with significant therapeutic effect.
