Werner Brian C, Gilmore Carl J, Hamann Joshua C, Gaskin Cree M, Carroll John J, Hart Joseph M, Miller Mark D
From the University of Virginia Health System, Charlottesville, VA (Dr. Werner, Dr. Gaskin, Dr. Carroll, Dr. Hart, and Dr. Miller), Presbyterian Rush Medical Center, Chicago, IL (Dr. Gilmore), and Northwest Iowa Bone, Joint, and Sports Surgeons, Spencer, IA (Dr. Hamann).
J Am Acad Orthop Surg. 2016 Aug;24(8):581-7. doi: 10.5435/JAAOS-D-15-00572.
The purpose of this study was to present results of single-stage revision anterior cruciate ligament (ACL) reconstruction using an allograft bone dowel for isolated femoral bony deficiency.
Sixteen patients underwent single-stage revision ACL reconstruction using an allograft bone dowel for isolated femoral bony deficiency between 2007 and 2012. Twelve patients (75%) completed study visits, which included CT scans as well as completion of validated outcomes measures.
The average KT-1000 side-to-side difference was 1.0 mm ± 2.9 mm. The average International Knee Documentation Committee score was 70.2 ± 17.8, the Tegner score was 4.8 ± 2.8, and the visual analog scale pain score was 2.8 ± 2.4. An analysis of CT scans showed that all 12 dowels had excellent (>75%) incorporation.
A single-stage approach for revision ACL reconstruction using allograft dowels for isolated femoral bony deficiency yields objective and subjective outcomes comparable to those reported in the literature for two-stage and other single-stage techniques, with good incorporation of the dowels.
Retrospective case series, level IV.
本研究的目的是呈现使用同种异体骨栓进行单阶段翻修前交叉韧带（ACL）重建治疗孤立性股骨骨缺损的结果。
2007年至2012年间，16例患者接受了使用同种异体骨栓进行单阶段翻修ACL重建治疗孤立性股骨骨缺损。12例患者（75%）完成了研究随访，包括CT扫描以及完成经过验证的疗效评估。
KT-1000平均两侧差值为1.0毫米±2.9毫米。国际膝关节文献委员会平均评分为70.2±17.8，Tegner评分为4.8±2.8，视觉模拟量表疼痛评分为2.8±2.4。CT扫描分析显示，所有12个骨栓均有良好的（>75%）融合。
使用同种异体骨栓进行单阶段翻修ACL重建治疗孤立性股骨骨缺损，其客观和主观结果与文献报道的两阶段及其他单阶段技术相当，骨栓融合良好。
回顾性病例系列，IV级。
