Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (52): 9831-9834.doi: 10.3969/j.issn.1673-8225.2010. 52.035

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Arthroscopic cruciate ligament reconstruction using hamstring tendon autograft fixed by bioabsorbable interference screw: 27 cases report

Wang Qun-li, Yun Xiong, Chen Qi, Luo Wei-guo, Gong Ji-cheng, Xu Xin   

  1. Department of Orthopedics, the 187 Hospital of Chinese PLA, Haikou  571159, Hainan Province, China
  • Online:2010-12-24 Published:2010-12-24
  • About author:Wang Qun-li☆, Doctor, Associate chief physician, Department of Orthopedics, the 187 Hospital of Chinese PLA, Haikou 571159, Hainan Province, China wangqunli2005@yahoo.com.cn

Abstract:

BACKGROUND: Clinical experiments of cruciate ligament reconstruction with hamstring tendon autograft or allograft fixed by bioabsorhable interference screw under arthroscope have been extensively conducted. However, clinical studies are few for the southerners with thin hamstring tendon.
OBJECTIVE: To introduce the clinical effect of cruciate ligament reconstruction with hamstring tendon autograft or allograft fixed by bioabsorhable interference screw under arthroscope.
METHODS: A retrospective analysis was conducted on 27 cases of cruciate ligament injury, including 24 cases of anterior cruciate ligament (ACL) injury, 2 of posterior cruciate ligament (PCL) injury, and 1 of both ACL and PCL injury, reconstruction with hamstring tendon autograft 23 cases and allograft 4 cases. Periodical examination was done on rehabilitation exercise and knee joint function. Knee joint function was determined by IKDC, Lysholm knee functional scales and Lysholm scores.
RESULTS AND CONCLUSION: The 22 cases were followed up for 3-24 months (average 8.7 months). One had saphenous nerve injury; intraarticular infection happened in 1 cases 3 months after operation, and the graft was removed, waiting for the revision reconstruction. All cases except the infected one got normal function of knee joint after operation and knee joint stability was recovered. The temperature of the affected knee was higher in allograft group in several weeks postoperation, but the body temperature was scarcely higher than 38 degree. A total of 19 patients got normal IKDC score, and the average postoperative Lysholm knee functional scales were significantly increased (P < 0.01). Results show that hamstring tendon autograft or allograft is ideal graft for ACL or PCL. Good result was expected for ACL or PCL reconstruction with hamstring tendon autograft fixed by bioresorbable interference screws.

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