Clinical epidemiological study on anterior cruciate ligament rupture and reconstruction

doi:10.3969/j.issn.2095-4344.2016.24.016

Abstract

Abstract:

BACKGROUND: Anterior cruciate ligament (ACL) reconstruction is the primary treatment method for ACL rupture. Currently, studies on ACL reconstruction involve histology and embryology, anatomical structure, biomechanics, reconstruction materials, operating technology, and rehabilitation after reconstruction. However, clinical epidemiological studies describing ACL rupture and reconstruction remain scarce.
OBJECTIVE: To analyze the clinical epidemiological characteristics of ACL rupture and reconstruction to provide guidance for prevention and treatment of ACL rupture.
METHODS: Data of 352 patients for age, gender, cause and mechanism of injury, treatment time, and the impact of ACL rupture on menisci and articular cartilage were gathered. Meanwhile, the events during surgery, operation methods and reconstruction materials were analyzed.
RESULTS AND CONCLUSION: ACL rupture mostly occurred in young men, and happened more often to the left knee; male patients got hurt in basketball, football and accidental injuries, while female patients got hurt in the accidental injuries, badminton and skiing injuries, internal rotation with valgus stress accounted for the predominant injury mechanism. The ACL reconstruction was mostly performed within 1-3 months after ACL rupture, often accompanied by meniscal and articular cartilage damage. Lateral meniscus injury incidence was relatively stable, medial meniscus injury incidence increased significantly over the half year after ACL rupture. Most articular cartilage injury occurred to patellar cartilage. A significant increase in medial condylar cartilage damage over 1 year after ACL rupture was often observed. Anatomic single-bundle ACL reconstruction was the primary surgical approach, the resident ridge and the lateral bifurcate ridge could be used to position bone tunnel and autogenous semitendinosus and gracilis tendon were the most commonly used reconstruction materials. Our results indicate that anatomic ACL reconstruction should be performed as early as possible in restore knee joint stability and prevent secondary injury of the medial meniscus and cartilage of medial femoral condyle.

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

Key words: Knee Joint, Anterior Cruciate Ligament, Menisci, Tibial

CLC Number:

R318

Chen Lian-xu, Fu Li-gong. Clinical epidemiological study on anterior cruciate ligament rupture and reconstruction[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(24): 3605-3608.

Figures/Tables 3

References

[1] Svoboda SJ. ACLinjury and posttraumatic osteoarthritis. Clin Sports Med, 2014, 33(4): 633-640.
[2] Hensler D, IIIinqworth KD, Fu FH.Principle considerations in anatomic ACL reconstruction. Arthroscopy. 2010;26(11): 1414-1415.
[3] 王健,敖英芳.前交叉韧带损伤的临床流行病学研究.中国运动医学杂志,2001,20(4):380-382.
[4] Clayton RA, Court-Brown CM. The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury.2008;39(12):1338-1344.
[5] 陈鸿辉.263例前交叉韧带损伤机制分析.中国运动医学杂志,1996,15(3):234-235.
[6] 王睿铸,纪斌平.前交叉韧带损伤的临床流行病学分析.实用医技杂志,2009,16(4):296-297.
[7] Griffin LY, Agel J, Albohm MJ, et al. Noncontact anterior cruciate ligament injuries: risk factors and prevention strategies. J Am Acad Orthop Surg.2000; 8(3),141-150.
[8] Uhorchak JM,Scoville CR,Williams GN,et al.Risk factors associated with noncontact injury of the anterior cruciate ligament: a prospective four-year evaluation of 859 West Point cadets. Am J Sports Med.2003;31(6): 831-842.
[9] Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train.2007; 42(2): 311-319.
[10] Majewski M,Susanne H,Klaus S.Epidemiology of athletic knee injuries: A 10-year study. Knee.2006; 13(3):184-188.
[11] Hernandez LM, Micheo WF, Amy E. Rehabilitation update for the anterior cruciate ligament injured patient: Current concepts. Bol Asoc Med PR.2006;98(1): 62-72.
[12] Boden BP, Dean GS, Feagin JA Jr, et al. Mechanism of anterior cruciate ligament injury. Orthopedics.2000; 23(6): 573-578.
[13] Tandogan RN, Taser O, Kayaalp A, et al.Analysis of meniscal and chondral lesions accompanying anterior cruciate ligament tears:relationship with age, time from injury, and level of sport. Knee Surg Sports Traumatol Arthrosc.2004;12(4): 262-270.
[14] O'Connor DP,Laughlin MS,Woods GW. Factors related to additional knee injuries after anterior cruciate ligament injury. Arthroscopy.2005;21(4): 431-438.
[15] 杨勇,张斌,贺占坤,等.前交叉韧带损伤后不同时间、年龄、性别对半月板和软骨损伤的影响.中国骨与关节损伤杂志,2013,28(10):967-968.
[16] 徐雁,敖英芳.前交叉韧带断裂继发软骨损伤的临床研究.中国运动医学杂志,2002,21(1):7-10.
[17] Maffulli N, Binfield PM, King JB. Articular cartilage lesions in the symptomatic anterior cruciate ligament-deficient knee.Arthroscopy.2003;19(7): 685-690.
[18] Wang HJ, Ao YF, Chen LX, et al. Second-look arthroscopic evaluation of the articular cartilage after primary single-bundle and double-bundle anterior cruciate ligament reconstruction.Chinese Medical Journal.2011; 124(21): 3551-3555.
[19] van Eck CF, Lesniak BP, Schreiber VM, et al. Anatomic single-and double- bundle anterior cruciate ligament reconstruction flowchart.Arthroscopy.2010; 26(2): 258-268.
[20] 陈连旭,余家阔,敖英芳,等.前交叉韧带止点形态学测量及重建骨道探索.中国运动医学杂志,2011,30(2):152-156.
[21] Ferretti M, Ekdahl M, Shen W,et al. Osseous landmarks of the femoral attachment of the anterior cruciate ligament: an anatomic studyoriginal research aarticle. Arthroscopy.2007;23(11): 1218-1225