Comparison of anterior cruciate ligament reconstructions using patellar tendon autograft or allograft
Comparison of anterior cruciate ligament reconstructions using patellar tendon autograft or allograft
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DOI：
10.1016/s0749-8063(96)90034-1
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发表时间：
1996-08-01
期刊：
影响因子：
4.7
通讯作者：
Marcus, RL
中科院分区：
文献类型：
--
作者：
Stringham, DR;Pelmas, CJ;Marcus, RL
在平均34个月时，对113例连续髌腱前交叉韧带重建中的78例（自体移植物，66例中的47例;同种异体移植物，47例中的31例）进行了评价。重建与Lysholm和Tegner膝关节评分量表，体检结果，仪器松弛值，单腿跳跃距离，等速肌力结果进行了比较。69%的自体移植患者和67%的同种异体移植患者的Lysholm评分大于或等于90，80%的自体移植患者和74%的同种异体移植患者的预期Tegner活动评分。40%的自体移植患者和44%的同种异体移植患者没有髌股体征和症状。80%的自体移植患者与70%的同种异体移植患者的侧-侧松弛度差异小于或等于3 mm。76%的自体移植患者和81%的同种异体移植患者的单腿跳跃评分大于或等于90%的非手术腿。组间的等速结果也相似。术后平均11个月，4名同种异体移植患者发生创伤性破裂，而自体移植组无创伤性破裂（P = 0.011）。这是唯一具有统计学意义的差异。
Seventy-eight of 113 consecutive patellar tendon anterior cruciate ligament reconstructions (autograft, 47 of 66; allograft, 31 of 47) were evaluated at an average of 34 months. Reconstructions were compared with Lysholm and Tegner knee-rating scales, physical examination findings, instrumented laxity values, single-leg hop distances, and isokinetic strength results. Lysholm scores greater than or equal to 90 were achieved by 69% of autograft patients versus 67% of allograft patients, Desired Tegner activity scores were achieved by 80% of autograft patients versus 74% of allograft patients. Patellofemoral signs and symptoms were absent in 40% of autograft patients versus 44% of allograft patients. Side-to-side laxity differences less than or equal to 3 mm were achieved in 80% of autograft patients versus 70% of allograft patients. Single-leg hop scores greater than or equal to 90% of the nonoperated leg were obtained in 76% of autograft patients versus 81% of allograft patients. Isokinetic results between groups were also similar. Traumatic ruptures were sustained by four allograft patients at an average of 11 months postoperatively compared with no traumatic ruptures in the autograft group (P = .011). This was the only difference of statistical significance.