Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (53): 9975-9979.doi: 10.3969/j.issn.2095-4344.2012.53.019

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Transplantation of single-bundle four-strand hamstring tendon via anteromedial approach for anterior cruciate ligament reconstruction

Xu Chang-ming1, Yang Le1, Hu Yu-hua1, Huangfu Xiao-qiao2   

  1. 1Department of Orthopedics, Jiangsu Armed Police General Hospital, Yangzhou 225003, Jiangsu Province, China
    2Department of Orthopedics, the 6th People’s Hospital of Shanghai Jiao Tong University, Shanghai 200233, China
  • Received:2012-03-16 Revised:2012-05-14 Online:2012-12-30 Published:2012-12-30
  • About author:Xu Chang-ming☆, Doctor, Associate chief physician, Department of Orthopedics, Jiangsu Armed Police General Hospital, Yangzhou 225003, Jiangsu Province, China sea009@126.com

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Abstract:

BACKGROUND: There are rare clinical reports addressing the establishment of the anterior cruciate ligament femoral tunnel through the anteromedial approach.
OBJECTIVE: To explore the feasibility of arthroscopic single-bundle four-strand hamstring tendon for anterior cruciate ligament reconstruction through the anteromedial approach.
METHODS: Sixty-five patients who underwent anterior cruciate ligament reconstruction were randomly divided into two groups. Thirty-five patients accepted single-bundle four strands hamstring tendon anterior cruciate ligament reconstruction via anteromedial approach and 30 patients accepted single-bundle four strands hamstring tendon anterior cruciate ligament reconstruction through transtibial drilling technique. The average follow-up was 16 months. Anteroposterior stability, rotational stability and overall function of the knee were assessed.
RESULTS AND CONCLUSION: At the final follow-up, there was no significant difference in the anteroposterior stability and Lysholm score between transtibial drilling group and anteromedial approach group (P > 0.05). The positive rate of the pivot-shift test was 23% in transtibial drilling group and 6% in anteromedial approach group, and there was a significant difference between two groups (P < 0.05). Both anteroposterior stability and rotational stability of the knee were reconstructed by single-bundle anterior cruciate ligament reconstruction via the anteromedial approach.

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