Remnant preservation with tensioning can improve the clinical outcome after anterior cruciate ligament reconstruction

被引:4
|
作者
Suh, Dong Won [1 ]
Yeo, Woo Jin [1 ]
Han, Seung Beom [2 ]
So, Sang-Yeon [1 ]
Kyung, Bong Soo [1 ]
机构
[1] Barunsesang Hosp, Joint Ctr, Seongnam, South Korea
[2] Korea Univ, Korea Univ Anam Hosp, Dept Orthoped Surg, Coll Med, Seoul, South Korea
关键词
anterior cruciate ligament; anterior cruciate ligament reconstruction; remnant preservation ACL reconstruction; remnant preservation with tensioning; cyclops; BUNDLE; GRAFT; AUGMENTATION; COVERAGE; TISSUE;
D O I
10.1177/23094990211073378
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background Many studies exist about remnant preservation in anterior cruciate ligament (ACL) reconstruction. However, concern remains for development of a cyclops lesion during remnant preservation. To prevent this, a tensioning method has been suggested. Current study evaluated the clinical and radiologic results of remnant preservation in ACL reconstruction with tensioning compared to classical ACL reconstruction. Methods From January 2016 to June 2017, ACL reconstruction patients who underwent magnetic resonance imaging (MRI) 2 years postoperatively were enrolled. For comparison, all participants were divided in two groups: remnant preservation with tensioning (group R) and controls (group C). Clinically, Hospital for Special Surgery (HSS), International Knee Documentation Committee (IKDC), Lysholm scores, and incidence of symptomatic cyclops lesions were evaluated. Radiologically, signal-to-noise quotient (SNQ) and size of the synovium on MRI as well as anterior instability in Telos stress radiographs were evaluated. Results A total of 64 patients were enrolled (42 in group R and 22 in group C). The IKDC score in group R (70) was better than that in group C (62; p < 0.05). One patient in group R had a cyclops lesion with clinical symptoms and arthroscopic excision was recommended. Radiologically, the SNQ, synovium area, and anterior instability on Telos radiography showed no difference between the two groups. Conclusion Remnant preservation with tensioning is a good option for ACL reconstruction without the development of a cyclops lesion.
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页数:7
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