Clinical evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: Patellar tendon versus gracilis and semitendinosus autograft
Clinical evaluation of arthroscopically assisted anterior cruciate ligament reconstruction: Patellar tendon versus gracilis and semitendinosus autograft
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DOI：
10.1016/j.arthro.2004.12.002
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发表时间：
2005-04-01
影响因子：
4.7
通讯作者：
El Noor, TA
中科院分区：
文献类型：
--
作者：
Ibrahim, SAR;Al-Kussary, IM;El Noor, TA
用途：评价两组相似患者的前交叉韧带（ACL）重建术治疗ACL缺陷膝关节患者的临床结果。研究类型：髌骨肌腱（PT）与半腱肌和股薄肌腱（STG）自体移植物用于ACL重建的前瞻性随机比较。研究方法：在1994年至1996年期间，85例慢性ACL缺陷膝关节的连续男性患者接受了关节镜辅助下自体PT或双环STG（4股）移植物重建。PT移植用于偶数出生日期的患者，STG移植用于奇数出生日期的患者。术前，两组之间在年龄、活动水平和松弛程度方面没有显著差异（X平方分析）。术后两组均采用标准化康复计划，包括立即主动伸展、早期负重和逐渐屈曲。术后8个月允许恢复运动。采用问卷调查、临床评估、Lysholm膝关节评分、国际膝关节文献委员会量表和放射学检查对患者进行评估。结果如下：在平均81个月的随访中，两组在主观主诉（复发性屈服、功能水平）或客观松弛评估（包括KT-1000测量或恢复运动）方面无显著差异。延伸损失
Purpose: To evaluate the clinical results of anterior cruciate ligament (ACL) reconstruction in patients with ACL-deficient knee in 2 similar groups of patients. Type of Study: A prospective randomized comparison of patellar tendon (PT) versus semitendinosus and gracilis tendon (STG) autografts for ACL reconstruction. Methods: Between 1994 and 1996, 85 consecutive male patients with chronic ACL-deficient knees underwent arthroscopically assisted reconstruction with either autologous PT or double-loop STG (4-strand) graft. PT grafts were used in patients with even-numbered birth dates and STG grafts for those with odd-numbered birth dates. Preoperatively, no significant differences between the 2 groups were noted with respect to age, level of activity, and degree of laxity (X-square analysis). A standardized rehabilitation program was used for both groups postoperatively that included immediate active extension and early weight bearing and gradual flexion. Return to sports was permitted 8 months postoperatively. Assessment of the patients was carried out using a questionnaire, clinical assessment, Lysholm knee scores, the International Knee Documentation Committee scale, and radiological examination. Results: At a mean follow-up of 81 months, there was no significant difference between the 2 groups with respect to subjective complaints (recurrent giving way, functional level) or objective laxity evaluation, including KT-1000 measurement or return to sports. Loss of extension of