Comparison of anatomic ACL reconstruction between selective bundle reconstruction and double-bundle reconstruction

被引:10
|
作者
Lee, Yong Seuk [1 ]
Nam, Shin Woo [1 ]
Sim, Jae Ang [1 ]
Lee, Beom Koo [1 ]
机构
[1] Gachon Univ, Sch Med, Gil Hosp, Dept Orthopaed Surg, Inchon 405760, South Korea
关键词
Knee; Anterior cruciate ligament; Double bundle; Selective bundle; Reconstruction; ANTERIOR CRUCIATE LIGAMENT; 3-DIMENSIONAL COMPUTED-TOMOGRAPHY; HAMSTRING TENDON GRAFTS; FOLLOW-UP; POSTEROLATERAL BUNDLES; AUGMENTATION TECHNIQUE; CLINICAL-EVALUATION; SINGLE-BUNDLE; REMNANT; KNEE;
D O I
10.1007/s00167-013-2684-8
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
The objective of this study was to compare the clinical and radiologic results of preserved ligament remnants in the selective bundle anterior cruciate ligament (ACL) reconstruction and totally sacrificed ligament remnant in the double-bundle ACL reconstruction in order to confirm the evidence of selective bundle reconstruction. This retrospective comparative study was conducted for comparison between preserved ligament remnants in the selective bundle ACL reconstruction and totally sacrificed ligament remnant in the double-bundle ACL reconstruction. From 2008 to 2010, 16 patients (group I) underwent selective bundle ACL reconstruction and 30 patients (group II) underwent double-bundle ACL reconstruction. Clinical, stability and radiologic results (tunnel locations of femoral tunnels using 3-D computed tomography and graft signal intensity using magnetic resonance imaging) were compared. In comparison with functional results, no statistical differences in the Lysholm, Tegner and International Knee Documentation Committee scores were observed between the two groups (n.s.). In comparison with stability results between the two groups, no statistical differences were observed in the Lachman, pivot shift and anterior drawer stress tests using a Telos(A (R)) device at 30A degrees and 90A degrees flexed positions (n.s.). In evaluation of the femoral tunnel location, no statistical significant differences in the tunnel position were observed between the groups (n.s.). No statistically significant differences in signal intensity were observed between the two groups (n.s.). Compared to the double-bundle ACL reconstruction, selective bundle ACL reconstruction produced comparable clinical and radiologic results. Selective bundle ACL reconstruction could be performed instead of double-bundle ACL reconstruction if some intact bundle exists. Comparative study, Level III.
引用
收藏
页码:2803 / 2810
页数:8
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