Anterior cruciate ligament revision reconstruction - Results in 107 patients
Anterior cruciate ligament revision reconstruction - Results in 107 patients
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DOI：
10.1177/0363546507312381
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发表时间：
2008-05-01
影响因子：
4.8
通讯作者：
Paessler, Hans H.
中科院分区：
文献类型：
--
作者：
Diamantopoulos, Andreas P.;Lorbach, Olaf;Paessler, Hans H.
背景资料：尽管用于前交叉韧带手术的合适移植替代品的技术和选择不断改进，但由于多种原因，失败仍会发生。假设：隧道定位不当可能是这些失败的最重要原因。研究设计：病例系列;证据等级：4。方法：本回顾性研究涉及148例在我院使用自体移植物进行的前交叉韧带翻修重建术。对107例患者进行了平均72.9 ± 20.6个月的随访。使用Lysholm评分、Tegner评分系统、国际膝关节文献委员会评价表和KT-1000关节测量仪进行临床评价。根据Jaeger和Wirth分级标准对X线片进行骨关节炎体征评估。结果：隧道定位不当是前交叉韧带重建失败的最重要原因（63.5%）。随访时平均Lysholm评分显著改善（88.5 ± 12.4 vs 51.5 ± 24.9; P
Background: Although techniques and options for suitable graft substitutes for anterior cruciate ligament surgery continue to improve, failures occur because of many reasons. Errors in surgical techniques seem to be important reasons.Hypothesis: Inappropriate positioning of the tunnels may be the most important reason for these failures. Anatomical anterior cruciate ligament revision reconstruction, using autografts, may yield acceptable outcomes.Study design: Case series; Level of evidence, 4.Methods: This retrospective study involved 148 anterior cruciate ligament revision reconstructions performed in our hospital using autografts. One hundred and seven patients were followed up at a mean of 72.9 +/- 20.6 months. Clinical evaluation was performed using the Lysholm score, the Tegner rating system, the International Knee Documentation Committee evaluation form, and the KT-1000 arthrometer. Radiographs were evaluated for signs of osteoarthritis according to the Jaeger and Wirth classification.Results: Inappropriate positioning of the tunnels was the most important reason (63.5%) for anterior cruciate ligament reconstruction failure. The average Lysholm score improved significantly at the follow-up (88.5 +/- 12.4 vs 51.5 +/- 24.9; P