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  • 张程远,陈疾忤,叶庭均,等.前交叉韧带解剖单束保残重建与解剖双束重建的中期效果比较[J].同济大学学报(医学版),2024,45(2):244-250.    [点击复制]
  • ZHANG Chengyuan,CHEN Jiwu,YE Tingjun,et al.Comparison of mid-term efficacy between anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for anterior cruciate ligament injury[J].同济大学学报(医学版),2024,45(2):244-250.   [点击复制]
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前交叉韧带解剖单束保残重建与解剖双束重建的中期效果比较
张程远,陈疾忤,叶庭均,王栋梁,尹峰,袁锋
0
(上海健康医学院附属第六人民医院东院骨科,上海201306;上海交通大学医学院附属第六人民医院骨科,上海200233;上海交通大学医学院附属第一人民医院骨科,上海200080;上海交通大学医学院附属瑞金医院骨科,上海200025;上海交通大学医学院附属新华医院骨科,上海200092;同济大学附属东方医院骨科,上海200120)
摘要:
目的比较前交叉韧带(anterior cruciate ligament, ACL)解剖单束保残重建和ACL解剖双束重建治疗ACL损伤的手术效果。 方法随访2021年1月—2022年4月从上海交通大学医学院附属第六人民医院、上海交通大学医学院附属第一人民医院、上海交通大学医学院附属瑞金医院、上海交通大学医学院附属新华医院、同济大学附属东方医院符合诊断标准的患者200名,其中保残单束组100名,解剖双束组100名,进行术前术后膝关节功能的评估,随访1年。 结果ACL保残单束组和解剖双束组在术后1年的Lysholm评分、国际膝关节评分委员会膝关节评分差异均无统计学意义,解剖双束组在术后恢复对抗性运动的比例较高(P=0.041)。 结论ACL解剖单束保残重建和ACL解剖双束重建在术后恢复日常生活的差异不明显,若进行激烈的对抗性运动,则ACL解剖双束重建可能具有一定优势。
关键词:  前交叉韧带  单束重建  双束重建  保残重建
DOI:10.12289/j.issn.2097-4345.23219
投稿时间:2023-07-04
基金项目:上海市科学技术委员会项目(20Y11913300);上海市申康医院发展中心项目(SHDC12020118);上海市浦东新区卫生健康委员会联合攻关项目(PW2022D-11);上海健康医学院校级科研项目(SSF-23-14-004)
Comparison of mid-term efficacy between anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for anterior cruciate ligament injury
ZHANG Chengyuan,CHEN Jiwu,YE Tingjun,WANG Dongliang,YIN Feng,YUAN Feng
(Department of Orthopedics, Shanghai Sixth People’s Hospital East, Shanghai University of Medicine and Health Sciences, Shanghai 201306, China; Department of Orthopedics, Shanghai Sixth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China;Department of Orthopedics, Shanghai First People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China;Department of Orthopedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China;Department of Orthopedics, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China;Department of Orthopedics, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China)
Abstract:
ObjectiveTo compare the mid-term efficacy of anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for anterior cruciate ligament(ACL) injury. MethodsA total of 200 patients with ACL admitted in Shanghai Sixth People’s Hospital, Shanghai First People’s Hospital, Ruijin Hospital, Xinhua Hospital and the Eastern Hospital from January 2021 to April 2022 were enrolled in the study. Among them, 100 patients underwent preservation single-bundle reconstruction and 100 patients underwent anatomical double-bundle reconstruction. Preoperative and postoperative knee joint function evaluations were performed, and all patients were followed up for one year. ResultsThere were no statistically significant differences in Lysholm scores and International Knee Documentation Committee(IKDC) scores between the preservation single-bundle group and the anatomical double-bundle group at 1 year postoperatively. Compared to single-bundle group, the anatomical double-bundle group had a higher proportion of patients having recovery in competitive sport activities after surgery(P=0.041). ConclusionThe difference in postoperative recovery of daily life activities is not significant between anatomical single-bundle preservation reconstruction and anatomical double-bundle reconstruction for ACL injury. However, anatomical double-bundle reconstruction has certain advantages in recovery of performing intense competitive sport activities.
Key words:  anterior cruciate ligament  single-bundle reconstruction  double-bundle reconstruction  preservation reconstruction

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