The First Operating Room, The First Hospital of Jilin University, Changchun City, Jilin Province 130021, China.
Department of Sports Medicine and Arthroscopic Surgery, The First Hospital of Jilin University, Changchun City, Jilin Province 130021, China.
Comput Math Methods Med. 2022 Sep 30;2022:2845114. doi: 10.1155/2022/2845114. eCollection 2022.
To compare the early clinical outcomes of ACL reconstruction using the augmented semitendinosus tendon combined with LARS synthetic material and the autologous hamstring tendons.
A total of 68 eligible patients with ACL rupture were reconstructed using either 4-strand autologous hamstring tendons, representing the control group, or the LARS synthetic material augmented grafts. The duration of postoperative swelling and recovery exercise was recorded. Lysholm and IKDC scores were used for evaluation of knee joint function. Lachman and pivot shift tests were conducted to evaluate stability.
The scores of the three knee functions in cases of the augmentation group were significantly higher than those of the control group 6 months after surgery ( < 0.05). There were no significant differences in Tegner score in the two groups 12 months after surgery ( > 0.05). In general, the augmentation group returned to exercise 12 weeks after surgery, while the control group required 30 weeks.
The present study indicates that synthetic material augmentation grafts allow earlier return to exercise and display more satisfactory results compared with the control group.
比较 ACL 重建中使用增强型半腱肌腱联合 LARS 合成材料与自体腘绳肌腱的早期临床结果。
共有 68 例 ACL 断裂的患者符合条件，分别使用 4 股自体腘绳肌腱（对照组）或 LARS 合成材料增强移植物进行重建。记录术后肿胀和恢复运动的持续时间。采用 Lysholm 和 IKDC 评分评估膝关节功能。行 Lachman 和轴移试验评估稳定性。
术后 6 个月，增强组的膝关节 3 项功能评分明显高于对照组（<0.05）。术后 12 个月，两组的 Tegner 评分无显著差异（>0.05）。总体而言，增强组术后 12 周即可恢复运动，而对照组则需要 30 周。
本研究表明，与对照组相比，合成材料增强移植物可更早地恢复运动，并获得更满意的效果。
