Bray R C, Dandy D J
Arthroscopy. 1987;3(2):106-10. doi: 10.1016/s0749-8063(87)80026-9.
Two groups of patients with chronic, symptomatic anterior cruciate ligament deficiency were reconstructed with carbon fibre. In 15 patients, the prosthesis was inserted through an anterolateral arthrotomy; in 14, it was inserted arthroscopically. Both groups also received a MacIntosh extraarticular lateral substitution. Assessment included subjective functional rating and objective clinical examination for instability. No significant difference in subjective functional rating was present after a minimum of 5 years; however, a reduced complication rate and diminished return of clinical instability was evident in the arthroscopic group during this period. Reconstruction was satisfactory in 47% of the arthrotomy group and 64% of the arthroscopy group when subjective and objective criteria were combined to assess the final outcome. This study supports the proposition that, in combination with extraarticular lateral substitution, arthroscopic insertion of cruciate prostheses compares favourably with conventional "open" techniques.
两组患有慢性症状性前交叉韧带缺损的患者接受了碳纤维重建手术。15例患者通过前外侧关节切开术植入假体；14例患者通过关节镜植入。两组患者均接受了MacIntosh关节外外侧替代手术。评估包括主观功能评分和不稳定情况的客观临床检查。至少5年后，主观功能评分无显著差异；然而，在此期间关节镜组的并发症发生率降低，临床不稳定复发减少。当结合主观和客观标准评估最终结果时，关节切开术组47%的患者和关节镜组64%的患者重建效果令人满意。这项研究支持了这样一种观点，即与关节外外侧替代手术相结合时，关节镜下植入交叉韧带假体与传统的“开放”技术相比具有优势。
