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第二代悬吊式植入物能否避免前交叉韧带重建术后第一代植入物造成的隧道增宽？

Does Second-Generation Suspensory Implant Negate Tunnel Widening of First-Generation Implant Following Anterior Cruciate Ligament Reconstruction?

作者信息

Sundararajan Silvampatti Ramasamy, Sambandam Balaji, Singh Ajay, Rajagopalakrishnan Ramakanth, Rajasekaran Shanmuganathan

机构信息

Department of Arthroscopy and Sports Medicine, Ganga Medical Centre & Hospital, Coimbatore, India.

Department of Orthopaedics and Spine Surgery, Ganga Medical Centre & Hospital, Coimbatore, India.

出版信息

Knee Surg Relat Res. 2018 Dec 1;30(4):341-347. doi: 10.5792/ksrr.18.005.

DOI:10.5792/ksrr.18.005
PMID:30466254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6254873/
Abstract

PURPOSE

Tunnel widening following anterior cruciate ligament (ACL) reconstruction is commonly observed. Graft micromotion is an important contributing factor. Unlike fixed-loop devices that require a turning space, adjustable-loop devices fit the graft snugly in the tunnel. The purpose of this study is to compare tunnel widening between these devices. Our hypothesis is that the adjustable-loop device will create lesser tunnel widening.

MATERIALS AND METHODS

Ninety-eight patients underwent ACL reconstruction from January 2013 to December 2014. An adjustable-loop device was used in 54 patients (group 1) and a fixed-loop device was used in 44 patients (group 2). Maximum tunnel widening at 1 year was measured by the L'Insalata's method. Functional outcome was measured at 2-year follow-up.

RESULTS

The mean widening was 4.37 mm (standard deviation [SD], 2.01) in group 1 and 4.09 mm (SD, 1.98) in group 2 (p=0.511). The average International Knee Documentation Committee score was 78.40 (SD, 9.99) in group 1 and 77.11 (SD, 12.31) in group 2 (p=0.563). The average Tegner-Lysholm score was 87.25 (SD, 3.97) in group 1 and 87.29 in group 2 (SD, 4.36) (p=0.987). There was no significant difference in tunnel widening and functional outcome between the groups.

CONCLUSIONS

The adjustable-loop device did not decrease the amount of tunnel widening when compared to the fixed-loop device. There was no significant difference in outcome between the two fixation devices.

LEVEL OF EVIDENCE

Level 3, Retrospective Cohort.

摘要

目的

前交叉韧带（ACL）重建术后隧道增宽较为常见。移植物微动是一个重要的促成因素。与需要旋转空间的固定环装置不同，可调环装置能将移植物紧密贴合于隧道内。本研究的目的是比较这两种装置之间的隧道增宽情况。我们的假设是可调环装置产生的隧道增宽较小。

材料与方法

2013年1月至2014年12月期间，98例患者接受了ACL重建。54例患者使用可调环装置（第1组），44例患者使用固定环装置（第2组）。采用L'Insalata法测量1年时的最大隧道增宽。在2年随访时评估功能结果。

结果

第1组平均增宽为4.37mm（标准差[SD]，2.01），第2组为4.09mm（SD，1.98）（p = 0.511）。第1组国际膝关节文献委员会平均评分为78.40（SD，9.99），第2组为77.11（SD，12.31）（p = 0.563）。第1组Tegner-Lysholm平均评分为87.25（SD，3.97），第2组为87.29（SD，4.36）（p = 0.987）。两组之间在隧道增宽和功能结果方面无显著差异。

结论

与固定环装置相比，可调环装置并未减少隧道增宽量。两种固定装置在结果上无显著差异。

证据水平

3级，回顾性队列研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/6254873/c67a7529ec81/ksrr-30-341f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/6254873/6e97c4d64c23/ksrr-30-341f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/6254873/25413669ddc2/ksrr-30-341f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/6254873/c67a7529ec81/ksrr-30-341f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/6254873/6e97c4d64c23/ksrr-30-341f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/6254873/25413669ddc2/ksrr-30-341f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dba/6254873/c67a7529ec81/ksrr-30-341f3.jpg

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本文引用的文献

1
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Muscles Ligaments Tendons J. 2016 Feb 12;6(4):467-472. doi: 10.11138/mltj/2016.6.4.467. eCollection 2016 Oct-Dec.
2
Clinical and Radiological Outcomes After Hamstring Anterior Cruciate Ligament Reconstructions: Comparison Between Fixed-Loop and Adjustable-Loop Cortical Suspension Devices.腘绳肌前交叉韧带重建术后的临床和影像学结果：固定环与可调环皮质悬吊装置的比较
Am J Sports Med. 2017 Mar;45(4):826-831. doi: 10.1177/0363546516674183. Epub 2016 Nov 25.
3
A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation.
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Knee Surg Relat Res. 2021 Dec 4;33(1):42. doi: 10.1186/s43019-021-00124-0.
Incorporation of Hamstring Grafts Within the Tibial Tunnel After Anterior Cruciate Ligament Reconstruction: Magnetic Resonance Imaging of Suspensory Fixation Versus Interference Screws.
前交叉韧带重建术后腘绳肌移植物在胫骨隧道内的植入：悬吊固定与挤压螺钉的磁共振成像
Am J Sports Med. 2016 Nov;44(11):2838-2845. doi: 10.1177/0363546516656181. Epub 2016 Jul 29.
4
The Correlation of Tunnel Position, Orientation and Tunnel Enlargement in Outside-in Single-Bundle Anterior Cruciate Ligament Reconstruction.外向单束前交叉韧带重建中隧道位置、方向与隧道扩大的相关性
Knee Surg Relat Res. 2015 Dec;27(4):247-54. doi: 10.5792/ksrr.2015.27.4.247. Epub 2015 Dec 1.
5
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6
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7
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Am J Sports Med. 2014 Feb;42(2):343-9. doi: 10.1177/0363546513507769. Epub 2013 Oct 24.
8
Does press-fit technique reduce tunnel volume enlargement after anterior cruciate ligament reconstruction with autologous hamstring tendons? A prospective randomized computed tomography study.压配技术是否能减少自体腘绳肌腱重建前交叉韧带后隧道容积扩大？一项前瞻性随机 CT 研究。
Arthroscopy. 2013 Jan;29(1):83-8. doi: 10.1016/j.arthro.2012.07.007.
9
Correlation between endobutton loop length and tunnel widening after hamstring anterior cruciate ligament reconstruction.腘绳肌腱前交叉韧带重建术后 Endobutton 袢长度与隧道增宽的相关性。
Am J Sports Med. 2013 Jan;41(1):101-6. doi: 10.1177/0363546512466384. Epub 2012 Nov 19.
10
High incidence of tunnel widening after anterior cruciate ligament reconstruction with transtibial femoral tunnel placement.前交叉韧带重建术中经胫骨隧道股骨隧道置钉后隧道增宽发生率高。
Arch Orthop Trauma Surg. 2012 Nov;132(11):1653-63. doi: 10.1007/s00402-012-1596-2. Epub 2012 Aug 11.