Trung Dung Tran, Manh Son Le, Thanh Luan Nguyen, Dinh Thien Chu, Dinh Toi Chu
Department of Orthopaedic and Sport Medicine, Saint Paul Hospital, Hanoi, Vietnam.
Department of Orthopaedic and Neurosurgery, Hanoi Medical University Hospital, Hanoi, Vietnam.
Open Access Maced J Med Sci. 2019 Dec 20;7(24):4351-4356. doi: 10.3889/oamjms.2019.390. eCollection 2019 Dec 30.
Arthroscopic anterior cruciate ligament reconstruction is one of the most successful operations in sports medicine. At present, ligament autografts have been the best method due to good histocompatibility, rapid healing, no cross-contamination, and low cost of treatment. However, autografts do not have infinite amount and are also not always feasible. Anterior half of peroneus longus tenden autograft is likely to become a source of autograft with many advantages. This study aims to evaluate the clinical outcomes of arthroscopic anterior cruciate ligament reconstruction using anterior half of peroneus longus tendon autograft (AHPLT).
To evaluate the initial outcome of ACL reconstruction arthroscopy by anterior half of peroneus longus tendon.
This is a prospective non-controlled case series.
A prospective study on 30 patients (from 9 / 2016 to 01 / 2019) had both ACL and MCL injury who had operated ACL reconstruction using anterior half of peroneus longus tendon autograft (AHPLT) at Department of General Orthopaedic and Trauma, Viet Duc hospital. Our outcome: the year average 35.4 ys, the rate of ACL rupture combined with meniscus injury was 40%. The average diameter AHPLT autograft is 7.0 mm. The function Lysholm scores improved from 59 to 94.27 postoperative 6 months. No difference beetwen the AOFAS scale of preoperative and postoperative.
Peroneus longus tendon is recommended to be a safe and practical autograft resource for arthroscopic anterior cruciate ligament reconstruction.
关节镜下前交叉韧带重建是运动医学中最成功的手术之一。目前，韧带自体移植由于组织相容性好、愈合快、无交叉污染且治疗成本低，已成为最佳方法。然而，自体移植的数量并非无限，也并非总是可行。腓骨长肌腱前半部分自体移植可能成为具有诸多优势的自体移植来源。本研究旨在评估使用腓骨长肌腱前半部分自体移植（AHPLT）进行关节镜下前交叉韧带重建的临床效果。
评估采用腓骨长肌腱前半部分进行关节镜下前交叉韧带重建的初期效果。
这是一个前瞻性非对照病例系列研究。
对越南德医院普通骨科与创伤科30例（2016年9月至2019年1月）同时患有前交叉韧带和内侧副韧带损伤且接受了腓骨长肌腱前半部分自体移植（AHPLT）进行前交叉韧带重建手术的患者进行了前瞻性研究。我们的结果：平均年龄35.4岁，前交叉韧带断裂合并半月板损伤的比例为40%。AHPLT自体移植的平均直径为7.0毫米。术后6个月，Lysholm功能评分从59分提高到94.27分。术前和术后AOFAS评分无差异。
推荐腓骨长肌腱作为关节镜下前交叉韧带重建安全且实用的自体移植来源。
