Anterior cruciate ligament reconstruction with single beam of hamstring tendon: a 1-year follow-up of knee function and stability

doi:10.3969/j.issn.2095-4344.2015.02.016

Abstract

Abstract:

BACKGROUND: Currently, there is still no clear conclusion on the pros and cons of arthroscopic anterior cruciate ligament reconstruction with or without stump preservation residues as well as the impact of reconstruction with stump preservation on proprioceptive sensation.
OBJECTIVE: To compare the curative effect of arthroscopic anterior cruciate ligament reconstruction with or without stump preservation on the function and stability of the knee joint during a 1-year follow-up.
METHODS: A retrospective analysis of 75 cases of arthroscopic anterior cruciate ligament reconstruction was done, including 37 cases of anterior cruciate ligament reconstruction without stump preservation and 38 cases of anterior cruciate ligament reconstruction with stump preservation. Autologous hamstring tendons were selected as implants. Evaluation of preoperative (6 months before operation) and postoperative (6 months and 1 year after operation) knee function and stability was implemented on the basis of Lysholm scores, IKDC Scores and KT2000. The comparative analysis was carried out as well on repeated passive angle for proprioception testing.
RESULTS AND CONCLUSION: All of the patients were followed up for 12 to 20 months. Range of motion of the knee joint was basically restored in the two groups 6 months after operation. The results showed the Lysholm scores, IKDC scores and KT-2000 scores at 6 months and 1 year after operation were significantly improved in the two groups as compared with the preoperative data (P < 0.05), and there was no statistically difference between the two groups. The proprioception difference between the healthy and affected sides was lower in the patients with stump preservation than those without stump preservation at 6 months and 1 year after operation (P < 0.05). There were
two cases in each group whose bone tunnel of the tibia was found deviating from the ideal position through postoperative X-ray examination, but cyclopia was unseen. Anterior cruciate ligament reconstruction with stump preservation is beneficial to the recovery of postoperative proprioception without increasing of postoperative complications.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

全文链接：

Key words: Anterior Cruciate Ligament, Knee Joint, Transplantation, Arthroscopes

CLC Number:

R318

Chen Hui-hai, Wang Hong, Guo Zhe, Quan Liang-zhong, Tong Li, Wang Hui. Anterior cruciate ligament reconstruction with single beam of hamstring tendon: a 1-year follow-up of knee function and stability[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(2): 246-251.

Figures/Tables 3

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