Anterior cruciate ligament reconstruction using allogeneic tendon with stump retention under arthroscopy: it is better for the early recovery of knee joint stability and motor function

doi:10.3969/j.issn.2095-4344.2015.11.017

Abstract

Abstract:

BACKGROUND: Revascularization under arthroscopy has become the main treatment for anterior cruciate ligament injury, but whether stump retention or removal is better during the reconstruction is still controversial.

OBJECTIVE: To investigate the short-term clinical efficacy of arthroscopic anterior cruciate ligament reconstruction using allogeneic tendon with stump retention.

METHODS: Seventy-five patients with anterior cruciate ligament injury were selected and randomly divided into two groups: stump retention group (n=38 cases) undergoing arthroscopic anterior cruciate ligament reconstruction with stump retention, and control group (n=37) undergoing arthroscopic anterior cruciate ligament reconstruction without stump retention. Both two groups were subject to allogeneic tendon transplantation. At 3, 6, 12, 24 months after transplantation, objective stability assessment (Lachman test, pivot shift test) and knee functional scoring (IKDC-200, Lysholm, Tegner scores) were evaluated.

RESULTS AND CONCLUSION: Both two groups were followed for 24 hours. Lachman test and pivot shift test were negative in the two groups, showing there was no difference in the knee joint stability performance between the two groups. Compared with the control group, the IKDC-200, Lysholm and Tegner scores in the stump retention group were significantly higher at 3, 6 months after transplantaiton (P < 0.05); but there was no difference in these scores between the two groups at 12 and 24 months after transplantation. These findings indicate that arthroscopic anterior cruciate ligament reconstruction with stump retention contributes to earlier recovery of knee joint stability and athletic ability, and has better short-term efficacy than anterior cruciate ligament reconstruction without stump retention.

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, Tendons, Transplantation

CLC Number:

R318

Wu Gui-you, Zhang Ya-dong, Wang Xi-shun, Hou Jun-hu, Gu Dong-qiang. Anterior cruciate ligament reconstruction using allogeneic tendon with stump retention under arthroscopy: it is better for the early recovery of knee joint stability and motor function[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(11): 1727-1731.

Figures/Tables 3

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