Khan Mohammad Jesan, Asif Naiyer, Aziz Mohd Hadi, Raza Ariz, Anwar Shahzad, Nuhmani Shibili, Alghadir Ahmad H, Khan Masood
Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh 202002, Uttar Pradesh, India.
Department of TB and Chest, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh 202002, Uttar Pradesh, India.
J Clin Med. 2022 Jun 24;11(13):3648. doi: 10.3390/jcm11133648.
Arthroscopic anatomic anterior cruciate ligament reconstruction (ACLR) is the gold standard treatment for an ACL tear and requires the use of fixed or adjustable-loop devices to fix a femoral-side graft. Although the adjustable mechanism is designed to provide one-way tensioning, there is a concern that the adjustable loop will loosen and lengthen during cyclic loads, creating graft laxity. The present paper is a retrospective study of patients who underwent ACLR with the fixation of a hamstring graft with an adjustable loop on the femoral side from November 2016 to October 2018. The knee’s functional outcome was evaluated using an International Knee Documentation Committee (IKDC) score, Lysholm score, Lachman test, and pivot shift test. The patients were assessed preoperatively and finally postoperatively after two years of surgery. Thirty-two patients were analyzed. Significant improvement was obtained in the final clinical outcome of the patients. Twenty-seven patients (84.4%) were Lachman negative, and twenty-eight patients (87.5%) were pivot shift test negative, the mean Lysholm score was 96.91, and the IKDC score was 91.47 (p < 0.001). There was no infection, graft failure, or flexion restriction. Arthroscopic ACLR with an adjustable-loop suspensory device is a successful fixation method for femoral-side graft fixation and offers a similar functional outcome as with fixed-loop devices.
关节镜下解剖学前交叉韧带重建术（ACLR）是治疗前交叉韧带撕裂的金标准，需要使用固定或可调环装置来固定股骨侧移植物。尽管可调机制旨在提供单向张紧，但人们担心可调环在循环载荷下会松动和延长，从而导致移植物松弛。本文是一项回顾性研究，研究对象为2016年11月至2018年10月期间接受ACLR手术且在股骨侧使用可调环固定腘绳肌移植物的患者。使用国际膝关节文献委员会（IKDC）评分、Lysholm评分、Lachman试验和轴移试验评估膝关节的功能结果。在术前以及术后两年进行最终评估。共分析了32例患者。患者的最终临床结果有显著改善。27例患者（84.4%）Lachman试验为阴性，28例患者（87.5%）轴移试验为阴性，Lysholm评分的平均值为96.91，IKDC评分为91.47（p<0.001）。未发生感染、移植物失败或屈曲受限。使用可调环悬吊装置进行关节镜下ACLR是一种成功的股骨侧移植物固定方法，其功能结果与固定环装置相似。
