Wang Rui, Xu Bin, Wu Lei, Xu Honggang
Department of Sport Injury & Arthroscopy, The First Affiliated Hospital of Anhui Medical University, Anhui, China.
J Int Med Res. 2018 Feb;46(2):865-872. doi: 10.1177/0300060517722243. Epub 2017 Sep 27.
Objective Arthroscopy is the most popular technique in posterior cruciate ligament (PCL) reconstruction surgery. However, no consensus on long-term outcomes after arthroscopic PCL reconstruction has been reached. This study was performed to evaluate the long-term outcomes after arthroscopic autologous hamstring or allogeneic tendon single-bundle reconstruction of the PCL. Methods Fifty-eight patients who underwent arthroscopic PCL reconstruction in Anhui, China from 2007 to 2009 were included. The follow-up period ranged from 56 to 83 months. During the follow-up, the Lysholm knee score and Tegner activity score were used to assess knee function. The KT-2000 arthrometer (MEDmetric Corp., San Diego, CA, USA) was used to assess the stability of the reconstructed PCL. Results The mean Lysholm score, mean Tegner score, and mean forward and backward displacements were not significantly different between the final follow-up and 1 year after the surgery. Additionally, no significant differences were observed in any of the above-mentioned parameters between autologous and allogeneic reconstruction at the final follow-up. Conclusion Both autologous and allogeneic reconstruction had few complications and satisfactory long-term outcomes.
目的 关节镜检查是后交叉韧带(PCL)重建手术中最常用的技术。然而,对于关节镜下PCL重建术后的长期疗效尚未达成共识。本研究旨在评估关节镜下自体腘绳肌腱或同种异体肌腱单束重建PCL后的长期疗效。方法 纳入2007年至2009年在中国安徽接受关节镜下PCL重建的58例患者。随访时间为56至83个月。随访期间,采用Lysholm膝关节评分和Tegner活动评分评估膝关节功能。使用KT-2000关节测量仪(美国加利福尼亚州圣地亚哥MEDmetric公司)评估重建PCL的稳定性。结果 末次随访时与术后1年时的平均Lysholm评分、平均Tegner评分以及平均前后位移无显著差异。此外,末次随访时自体和同种异体重建在上述任何参数上均未观察到显著差异。结论 自体和同种异体重建均并发症较少,长期疗效满意。