XIE Feng,YANG Liu,GUO Lin,DAI Can,HAN Xue-song,OUYANG Yun-fei,WANG Xiao-yu,DAI Wei.A follow-up study of arthroscopically assisted combined reconstruction of anterior and posterior cruciate ligaments with allogeneic patellar tendon[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(07):626-628.
XIE Feng,YANG Liu,GUO Lin,DAI Can,HAN Xue-song,OUYANG Yun-fei,WANG Xiao-yu,DAI Wei.A follow-up study of arthroscopically assisted combined reconstruction of anterior and posterior cruciate ligaments with allogeneic patellar tendon[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(07):626-628.DOI:
Objective To evaluate the therapeutic effect on reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) simultaneously by using allogeneic patellar tendon under arthroscopy. Methods From May 2003 to November 2005
10 cases of ruptured ACL and PCL were fixated with compressed screws and reconstructed under arthroscopy with allogeneic patellar tendon in one stage. The clinical results were evaluated according to IKDC
Lysholm
and Tegner clinical rating scales. Results All patients were followed up for 12-30 months (average 18 months ). At the end of follow-up
there was no knee extension limitation and the knee flexion was between 120 and 135
with an average of 128.38. The Lysholm score of the 10 cases was (66.5±5.6) before operation
and (89.8±3.4) at the end of follow-up. Statistically
the difference between the two Lysholm scores was significant (P0.01). The average Tegner activity score decreased in patients from (6.9±1.7) (range from 4 to 9) before injury to (5.5±1.6) (range from 2 to 9) at follow-up. At termination of follow-up
IKDC score was graded as A in four cases (40.0%)
B in five cases (50.0%)
and C in one case (10.0%). Of the 10 patients
8 patients returned to the pretraumatic sports level and 2 were under the level. Conclusion Arthroscopically assisted combined reconstruction of ACL and PCL with allogeneic patellar tendon has the advantages of minimal trauma in surgery and reliable satisfactory outcome.