Objective To explore the clinical effects of one-stage anterior and posterior cruciate ligament reconstruction under arthroscopy combined with medial collateral ligament repair.Methods From July 2012 to September 2017, 32 patients with anterior cruciate ligament (ACL) injury, posterior cruciate ligament (PCL) injury, and grade 3 medial collateral ligament (MCL) injury were treated.They were 21 males and 11 females, with an average age of 33±8.4 (21 to 53) years old.The average time from injury to operation was 19±1.9 (16 to 21) days.The ACL and PCL were reconstructed under arthroscopy with autologous tendon and allogeneic tendon, and the upper stop rupture of MCL was repaired with anchors.Results The 27 patients were followed up for an average of 18±7.8 (6 to 32) months.At the last follow-up, the Lysholm score, Tegner score and the International Knee Documentation Committee (IKDC) rating were significantly improved.All the patients showed a negative pivot shift test result and a normal range of motion.Conclusion One-stage reconstruction of ACL and PCL under arthroscopy combined with MCL repair can effectively restore the function of the knee joint and lead to satisfactory clinical outcomes on account of its shorter treatment cycle and early functional exercise.
WANG Jiaqi
,
ZHANG Peng
,
WANG Shuqing
,
ZHANG Yingqi
. Analysis of the efficacy of one-stage arthroscopic reconstruction of anterior and posterior cruciate ligament and repair of medial collateral ligament[J]. Surgical Research and New Technique, 2018
, 7(3)
: 160
-164
.
DOI: 10.3969/j.issn.2095-378X.2018.03.003
[1] Zhang Y, Zhang X, Hao Y, et al.Surgical management of the multiple ligament injured knee:a case series from Chongqing, China and review of published reports[J].Orthop Surg, 2013, 5(4):239-249.
[2] 杨帆,贾庆卫.膝关节多韧带损伤诊疗现状[J].中国矫形外科杂志, 2013,21(10):984-988.
[3] 江武,姚建华,孔德佳,等.一期修复重建膝关节多发韧带损伤疗效观察[J].中国修复重建外科杂志, 2014,28(7):810-813.
[4] Krohn K.Footwear alterations and bracing as treatments for knee osteoarthritis[J].Curr Opin Rheumatol, 2005, 17(5):653-656.
[5] 吴萌,高莉,夏亚一,等.Ⅰ期关节镜辅助下修复重建膝关节后外侧脱位合并多发韧带损伤的疗效观察[J].中国骨伤,2014,27(8):686-690.
[6] Harner CD, Waltrip RL, Bennett CH, et al.Surgical manage-ment of knee dislocations[J].J Bone Joint Surg (Am), 2004, 86-A(2):262-273.
[7] Levy BA, Dajani KA, Whelan DB, et al.Decision making in the multi ligament-injured knee: an evidence-based systematic review[J].Arthroscopy, 2009, 25(4):430-438.
[8] Mariani PP, Margheritini F, Camillieri G.One-stage arthro-scopically assisted anterior and posterior cruciate ligament reconstruction[J].Arthroscopy, 2001, 17(7):700-707.
[9] 彭亮权,陆伟,王大平,等.前后交叉韧带同时重建固定角度实验研究[J].中国修复重建外科杂志, 2011,25(8):980-983.
[10] Lubowitz JH, MacKay G, Gilmer B. Knee medial collateral ligament and posteromedial corner anatomic repair with internal bracing[J].Arthrosc Tech, 2014, 3(4):e505-e508.
