Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (24): 3815-3820.doi: 10.3969/j.issn.2095-4344.2017.24.008

Previous Articles     Next Articles

Anterior cruciate ligament reconstruction with autologous ipsilateral 1/2 peroneus longus tendon

Zhang Lei1, Zhou Xin2, Qi Ji1, Guan Tai-yuan2, Xie Li-jun2, Wang Guo-you2, Fu Shi-jie2, Li Yi-kai1   

  1. 1Chinese Medicine College of Southern Medical University, Guangzhou 510515, Guangdong Province, China; 2Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University, Luzhou 646600, Sichuan Province, China
  • Revised:2017-03-16 Online:2017-08-28 Published:2017-08-30
  • Contact: Li Yi-kai, M.D., Professor, Chinese Medicine College of Southern Medical University, Guangzhou 510515, Guangdong Province, China
  • About author:Zhang Lei, Studying for doctorate, Attending physician, Chinese Medicine College of Southern Medical University, Guangzhou 510515, Guangdong Province, China
  • Supported by:

    the Research Project of Educational Department of Sichuan Province, No. 17ZB0472; the Science and Technology Program of Bureau of Science and Technology of Luzhou, No. 2014-S-46(8/11); the Integrated Project of Southwest Medical University & Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University, No. 2016-4-31

Abstract:

BACKGROUND: Anterior cruciate ligament (ACL) injury is a commonly sport-induced knee joint injury that does serious harm to the knee stability. ACL reconstruction is a commonly used treatment method, but researches on 1/2 peroneus longus tendon (PLT) graft are rarely reported.
OBJECTIVE: To investigate the clinical outcomes of removing the autologous ipsilateral 1/2 PLT under arthroscopy for ACL reconstruction.
METHODS: 106 patients with complete ACL rupture in the Affiliated Hospital of Traditional Chinese Medicine, Southwest Medical University from December 2010 to December 2014 were enrolled, and autologous ipsilateral 1/2 PLT was removed under arthroscopy for ACL reconstruction. At baseline, 3, 6 and 12 months postoperatively, the knee stability was evaluated manually through the anterior drawer test, Lachman test, and pivot-shift test, and the knee function was evaluated by Tegner activity scale, Lysholm and International Knee Documentation Committee scores.
RESULTS AND CONCLUSION: Postoperative anterior drawer test, Lachman test, and pivot-shift test tests were negative in all patients. In terms of Tegner activity scale, Lysholm and International Knee Documentation Committee scores, there were significant differences at baseline and postoperative 3 months as compared with postoperative 6 months (P < 0.05); the scores at baseline and postoperative 3 months showed significant differences compared with 12 months postoperatively (P < 0.05); the scores showed no significant difference between 6 and 12 months postoperatively (P > 0.05). These results indicate that autologous ipsilateral 1/2 PLT is a good choice for ACL reconstruction under arthroscopy, achieving rapid and satisfactory functional recovery of the knee joint, which is not only minimally invasive and easy to operate, but also exhibits good therapeutic efficacy. 

 

Key words: Anterior Cruciate Ligament, Fibula, Arthroscopy, Tissue Engineering

CLC Number: