Galan Hernan, Escalante Mateo, Della Vedova Franco, Slullitel Daniel
Instituto "Dr Jaime Slullitel", Rosario - Santa Fe, Argentina.
J Exp Orthop. 2020 Mar 14;7(1):13. doi: 10.1186/s40634-020-00226-w.
The aim of this study is to evaluate results of anterior cruciate ligament reconstruction (ACL) using an All-Inside Full Thickness Quadriceps Reconstruction technique at 5 years follow up.
This is a Retrospective cohort study of patients undergoing ACL reconstruction. Inclusion criteria for this report were isolated primary ACL reconstructions without chondral lesions (Grade III/IV Outerbridge), using autologous full-thickness quadriceps tendon (FQT) graft with bone block, with an "all-inside" technique. Functional scales of Lysholm, IKDC, Tegner and objective results of side to side difference (KT1000) were used for this evaluation. Additionally, complications and comorbidities were also analyzed.
Two hundred and ninety-one ACL reconstructions were retrospectively reviewed at 5 years postoperatively; 268 (92.1%) were men and 23 (7.90%) women. Lysholm Score improved from 64 (SD = 6.09) to 91 (SD = 6.05) points average. IKDC showed 59.79%, excellent and 3.4% good results. Arthrometric analysis showed that 259 knees (89%) had a difference of less than 3 mm. Median pre-injury Tegner score was 9 (Range 4-10), while final median Tegner activity level at 5 years was 8 (Range 4-10). Among comorbidities, 5.15% of the patients presented anterior knee pain. No visualization difficulties or significant hematomas were found.
Use of all inside FQT for ACL reconstruction in a young, high demand sports population, present at 5 years, good to excellent results, functionally and objectively, with low rates of complications and comorbidities.
本研究旨在评估采用全内全层股四头肌重建技术进行前交叉韧带重建（ACL）术后5年的效果。
这是一项对接受ACL重建患者的回顾性队列研究。本报告的纳入标准为孤立的原发性ACL重建，无软骨损伤（Outerbridge III/IV级），采用带骨块的自体全层股四头肌腱（FQT）移植物，使用“全内”技术。使用Lysholm、IKDC、Tegner功能量表以及双侧差异（KT1000）的客观结果进行评估。此外，还分析了并发症和合并症。
对291例ACL重建患者进行了术后5年的回顾性分析；其中男性268例（92.1%），女性23例（7.90%）。Lysholm评分平均从64分（标准差=6.09）提高到91分（标准差=6.05）。IKDC显示，59.79%为优秀结果，3.4%为良好结果。关节测量分析表明，259例膝关节（89%）双侧差异小于3毫米。损伤前Tegner评分中位数为9分（范围4-10），而5年时最终Tegner活动水平中位数为8分（范围4-10）。在合并症中，5.15%的患者出现膝前疼痛。未发现可视化困难或明显血肿。
对于年轻、运动需求高的人群，采用全内FQT进行ACL重建，术后5年功能和客观效果良好至优秀，并发症和合并症发生率低。
