LI Wei-ping,HUANG Jian-rong,SHEN Hui-yong,SONG Bin,SONG Fu-qiang,SONG Yang.Arthroscopic-assisted reconstruction of anterior cruciate ligament through twin tunnels in tibia by six bundles of autoallergic tendons[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(15):1404-1407.
LI Wei-ping,HUANG Jian-rong,SHEN Hui-yong,SONG Bin,SONG Fu-qiang,SONG Yang.Arthroscopic-assisted reconstruction of anterior cruciate ligament through twin tunnels in tibia by six bundles of autoallergic tendons[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(15):1404-1407.DOI:
Arthroscopic-assisted reconstruction of anterior cruciate ligament through twin tunnels in tibia by six bundles of autoallergic tendons
Objective To introduce the operation methods of reconstructing anterior cruciate ligament through arthroscope by using six bundles of autoallergic tendons. Methods In 32 patients whose anterior cruciate ligaments were broken
the autoallergic tendons were woven to a flexional six-bundle graft before implantation. Twin tunnels in tibia were drilled
the tendon grafts were fixed by screws. All procedures were performed using a standard endoscopic technique. Partial meniscectomy was conducted in 17 patients
large partial meniscectomy in 2
meniscus prosthesis in 2
cartilage chipping in 6 And MCL prosthesis in 3. Results Thirty patients were followed up for 7 to 22 months (14 in average). The Lysholm score improved from (62.0±4.5) to (93.2±3.6) (t=2.469
P0.01). KT-1000 examination showed mean motion was (1.3±0.4) mm. MRI callback showed 2 patients had various expanding of the tunnel in tibial tunnel
and 4 anteriomedialis bundle had a dash in fossa intercondylica. No narrowness in joint space was found on X ray film in all cases. Conclusion Using autoallergic tendons to weave into a flexional six bundles for transplants and twin tunnels in tibia by using screws pinning in the surfaces through arthroscope has less trauma
good joint stability
and better resumed anatomic construction. Its short-term therapeutic effect is excellent.