Xie Lei, Chen Baicheng, Wang Xiaofeng, Liu Hu, Zhu Chaohua, Wang Zhihui
Department of Joint Surgery, Third Hospital of Hebei Medical University, Shijiazhuang Hebei 050051, PR China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2011 Aug;25(8):907-11.
To compare the recovery of proprioception between autograft and allograft for anterior cruciate ligament (ACL) reconstruction.
Between January 2008 and January 2010, 40 patients underwent ACL reconstruction with autologous tendon (autograft group, n = 20) and allogeneic tendon (allograft group, n = 20). No significant difference was found in gender, age, disease duration, and function scores between 2 groups (P > 0.05). All the patients underwent the ACL reconstruction with single-bundle technique. The knee range of motion (ROM), International Knee Documentation Committee (IKDC) score, and Lysholm score were measured after operation. The proprioception was assessed by the joint position sense (JPS) at 3 and 12 months postoperatively. The normal knee was used as control.
The patients of 2 groups achieved healing of incision by first intention without complication of infection or haemarthrosis. All patients were followed up 12-18 months (mean, 13.5 months). There were significant differences in knee ROM, IKDC score, and Lysholm score between preoperation and 12 months postoperatively in 2 groups (P < 0.05). There was no significant difference in JPS 30 degrees, JPS 60 degrees, and JPS 90 degrees between affected knees and normal knees in autograft group at 3 months postoperatively (P > 0.05). No significant difference was found in JPS 30 degrees between affected knees and normal knees in allograft group at 3 months postoperatively (P > 0.05); but significant differences were found in JPS 60 degrees and JPS 90 degrees between affected knees and normal knees in allograft group at 3 months postoperatively (P < 0.05). There was no significant difference in JPS 30 degrees, JPS 60 degrees, and JPS 90 degrees between affected knees and normal knees in 2 groups at 12 months postoperatively (P > 0.05). Significant differences were also found in JPS 60 degrees and JPS 90 degrees between affected knees of 2 groups (P < 0.05) at 3 months postoperatively, whereas no significant difference was found in JPS 30 degrees between affected knees of 2 groups (P > 0.05). No significant difference was found in JPS 30 degrees, JPS 60 degrees, and JPS 90 degrees between affected knees of 2 groups at 12 months postoperatively (P > 0.05).
Autologous and ACL reconstruction is better than allogeneic ACL reconstruction in the recovery of proprioception at early time after surgery.
比较自体移植和异体移植重建前交叉韧带（ACL）后本体感觉的恢复情况。
2008年1月至2010年1月，40例患者接受了自体肌腱ACL重建（自体移植组，n = 20）和异体肌腱ACL重建（异体移植组，n = 20）。两组在性别、年龄、病程和功能评分方面无显著差异（P > 0.05）。所有患者均采用单束技术进行ACL重建。术后测量膝关节活动范围（ROM）、国际膝关节文献委员会（IKDC）评分和Lysholm评分。术后3个月和12个月通过关节位置觉（JPS）评估本体感觉。以正常膝关节作为对照。
两组患者切口均一期愈合，无感染或关节积血并发症。所有患者均随访12 - 18个月（平均13.5个月）。两组术前与术后12个月的膝关节ROM、IKDC评分和Lysholm评分有显著差异（P < 0.05）。自体移植组术后3个月患侧膝关节与正常膝关节在JPS 30度、JPS 60度和JPS 90度时无显著差异（P > 0.05）。异体移植组术后3个月患侧膝关节与正常膝关节在JPS 30度时无显著差异（P > 0.05）；但在JPS 60度和JPS 90度时有显著差异（P < 0.05）。两组术后12个月患侧膝关节与正常膝关节在JPS 30度、JPS 60度和JPS 90度时无显著差异（P > 0.05）。两组患侧膝关节在术后3个月时JPS 60度和JPS 90度也有显著差异（P < 0.05），而在JPS 30度时无显著差异（P > 0.05）。两组患侧膝关节在术后12个月时JPS 30度、JPS 60度和JPS 90度无显著差异（P > 0.05）。
自体ACL重建术后早期本体感觉恢复优于异体ACL重建。
