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| Observation on Effect of ACL Reconstruction combined with ALL Reconstruction on ACL Injury with High-grade Pivot-shift |
| CHEN Peng, YU Defu, CHEN Tao |
| Anhui Second People's Hospital, Anhui Hefei 230000, China |
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Abstract Objective: To observe the curative effect of anterior cruciate ligament reconstruction combined with anterior lateral ligament reconstruction on ACL injury with high-grade pivot-shift. Methods: A total of 78 patients with ACL injury admitted to the hospital from October 2015 to January 2018 were enrolled in the study. They were divided into control group and combined group by hierarchical random number table method, 39 cases in each group. The control group was given ACL reconstruction. The combined group was given ACL reconstruction combined with ALL reconstruction.The stability grading, knee range of motion, recovery of muscle strength, change of Lysholm scoring and surgical safety were compared between the two groups. Results: There were no significant differences in stability grading, limited angle of knee flexion, limited angle of knee extension, atrophy index or Lysholm score between the two groups before the surgery (P>0.05). The negative rate in the stability grading of the combined group was significantly higher than that of the control group after the surgery (P<0.05). The limited angle of knee flexion, limited angle of knee extension and atrophy index were significantly decreased in both groups after the surgery, and the above indexes in the combined group was significantly lower than those in the control group (P<0.05). The Lysholm scores of the combined group at 1 month, 3 months and 5 months after surgery were significantly higher than those of control group (P<0.05). There was no significant difference in the total incidence of complications after the surgery between the two groups (P>0.05). Conclusion: ACL reconstruction combined with ALL reconstruction is effective in the treatment of patients with high axially displaced ACL injury. It plays an active role in improving joint stability, knee joint mobility and muscle strength recovery, and has a certain degree of safety.
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[1] 宋伟毅,林超文,吴宇峰,等.关节镜下规避骺板法治疗儿童ACL胫骨止点撕脱性骨折[J].中华创伤骨科杂志,2016,18(2):144~148.
[2] 郭韵,杜良杰,李建军,等.ACL重建术后膝关节的神经肌肉功能重塑[J].中国康复理论与实践,2016,36(1):65~68.
[3] 郭艳宇,王振虎,吴羽,等.股骨止点两种不同定位方法对ACL重建术后近期疗效的影响[J].中国现代医学杂志,2016,26(1):137~140.
[4] 张太良,张磊,廉志明,等.关节镜下ACL重建保留残端与否干预膝关节本体感觉功能恢复的Meta分析[J].中国组织工程研究,2017,21(3):471~477.
[5] 郝晓东,蒋攀峰,郑云龙,等.平衡促进训练影响膝关节前交叉韧带损伤重建术后患膝本体感觉的研究[J].河北医学,2014,19(24):13~15.
[6] Liossatou E,Fardis M N.Near‐fault effects on residual displacements of RC structures[J].Earthquake Engineering&Structural Dynamics,2016,45(9):1391~1409.
[7] 刘心,张辉,冯华,等.前外侧肌腱固定术在治疗合并高度轴移不稳定的ACL损伤患者中的应用[J].中国运动医学杂志,2017,36(2):101~105.
[8] 张春礼,丁明,杜天舒.膝关节ACL重建术中膝关节ALL的价值[J].中国微创外科杂志,2016,16(7):577~580.
[9] Smith CK,Howell SM,Hull ML.Anterior laxity,slippage and recovery of function in the first year after tibialis allograft anterior cruciate ligament reconstruction[J].Am Sports Med,2011,39(1):78~88.
[10] 章亚东,侯树勋,张轶超,等.关节镜下ACL重建后内侧和外侧半月板同期移植术[J].中华外科杂志,2011,49(7):581~585 |
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2019, Vol. 25 
