Journal of Hebei Medical University ›› 2021, Vol. 42 ›› Issue (1): 38-41.doi: 10.3969/j.issn.1007-3205.2021.01.009

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Comparison of arthroscopic reconstruction using autologous hamstring tendon in the treatment of fresh and old anterior cruciate ligament rupture

  

  1. 1.Graduate School of Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, China; 
    2.the First Department of Orthopedics, Jiangxi Hospital of Integrated Traditional Chinese and 
    Western Medicine, Nanchang 330006, China
  • Online:2021-01-25 Published:2021-02-05

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Abstract: Objective  To explore the optimal timing forarthroscopic reconstruction of anterior cruciate ligament rupture(ACLR). 
Methods  In this retrospective case-control study,53 patients with ACLR treated by reconstruction using autogenous hamstring tendon were entered into this study. They were divided into fresh group(28 cases that were injured within 10 weeks) and old group(25 cases that were injured for more than 10 weeks) according to the time interval from injury to reconstruction. At the last follow-up after operation, the positive rate of Lachman test and pivot shift test, the International Knee Documentation Committee Knee Uation Form(IKDC)score, Lysholm score and incidence of postoperative secondary complications were compared. 
Results  There was no significant difference in the positive rate of Lachman test and pivot shift test, Lysholm score and IKDC score between two groups(P＞0.05). The incidence of postoperative complications in the old group was higher than that in the fresh group(P＜0.05). 
Conclusion  Reconstruction of fresh ACLR has similar clinical effect with reconstruction of old ACLR, but the incidence of complications after reconstruction of fresh ACLR is lower than that of old ACLR.


Key words: arthroscopy, anterior cruciate ligament reconstruction, duration of operation