关键词: 前交叉韧带, 断裂, 重建

Abstract:

【Abstract】Objective To discuss the clinic differences between arthroscopic ACL reconstructions with single-bundle and double-bundle single tibial tunnel after ACL injury. Methods A total of 38 cases of arthroscopic ACL reconstruction were involved in this study from January 2008 to June 2011, including 21 double-bundle ones (Group A) and 17 single-bundle ones (Group B). The IKDC2000, Larson and Lysholm scores were compared for every patient before and after operation. Results All the 38 patients were followed up from 12 to 35 months (an average of 25), which contained 38 examples of knee joints. The mobility of joint was normal in patients of both group A and B after operation. As regard of IKDC2000, Larson and Lysholm scores, the differences in group A or Group B were significant before and after operation (P<0.001). In the comparison between group A and group B, postoperative Larson score of group A was superior to the group B and the other scores were no statistical difference. Conclusion Both double-bundle and single-bundle single tunnel reconstruction by arthroscope could achieve excellent clinical effect in treatment of ACL injury. The double-bundle method looks better than single-bundle method according Larson score, but it needs to be further confirmed.

Key words: Anterior cruciate ligament, Breaking, Reconstruction