Department of Orthopedic Surgery, New Taipei Municipal Tu-Cheng Hospital, Chang Gung Memorial Hospital, New Taipei City 236, Taiwan.
Comprehensive Sports Medicine Center, Linkou Chang Gung Memorial Hospital, Taoyuan City 333, Taiwan.
Medicina (Kaunas). 2023 Feb 14;59(2):366. doi: 10.3390/medicina59020366.
: To investigate the prognosis of combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction, we used a GNRB (Genourob, Laval, France) arthrometer to measure surgical outcomes. : This retrospective study reviewed patients who underwent combined ACL and ALL reconstruction and had a minimum follow-up of 2 years. Subjective outcomes, namely the International Knee Documentation Committee (IKDC) evaluation form scale scores and Lysholm scores, were evaluated preoperatively and postoperatively. We used a GNRB arthrometer to test the side-to-side laxity under pressures of 134 and 200 N, and we calculated the differential of the slope of the curves. We also recorded complications. : Our study examined 18 patients (mean age: 30.56 ± 8.9 years, range: 19-53) with a mean follow-up of 27.37 ± 3.4 months (range: 24-36). Both Lysholm and IKDC scores were significantly improved following the operation. The GNRB arthrometer measured mean anteroposterior laxity side-to-side as 0.76 ± 0.78 mm and 0.82 ± 0.8 mm under pressures of 134 and 200 N, respectively. The mean side-to-side differential slope under 200 N was 3.52 ± 2.17 μm/N. These values indicated that patients displayed no graft tear or low functional knee instability. All patients had a grade 3 pivot shift preoperatively; only two patients had a grade 1 pivot shift postoperatively, with the rest having a negative pivot shift. : Our study revealed that combined ACL and ALL reconstruction has an excellent prognosis. GNRB measurement demonstrated excellent stability, and most patients had no residual pivot shift.
为了研究前交叉韧带（ACL）和前外侧韧带（ALL）联合重建的预后，我们使用 GNRB（Genourob，拉瓦尔，法国）关节测量仪来测量手术结果。这项回顾性研究回顾了接受联合 ACL 和 ALL 重建且随访时间至少 2 年的患者。术前和术后评估了主观结果，即国际膝关节文献委员会（IKDC）评估表评分和 Lysholm 评分。我们使用 GNRB 关节测量仪在 134N 和 200N 的压力下测试膝关节的侧方松弛度，并计算曲线斜率的差值。我们还记录了并发症。我们的研究检查了 18 名患者（平均年龄：30.56±8.9 岁，范围：19-53 岁），平均随访 27.37±3.4 个月（范围：24-36 个月）。术后 Lysholm 和 IKDC 评分均显著改善。GNRB 关节测量仪测量的膝关节侧方前后松弛度平均值分别为 134N 时 0.76±0.78mm 和 200N 时 0.82±0.8mm。200N 时的平均侧方差值斜率为 3.52±2.17μm/N。这些值表明患者没有出现移植物撕裂或低功能膝关节不稳定。所有患者术前均有 3 级髌股关节跳动，术后仅 2 例有 1 级髌股关节跳动，其余均为阴性髌股关节跳动。我们的研究表明，联合 ACL 和 ALL 重建具有极好的预后。GNRB 测量显示出极好的稳定性，大多数患者没有残留的髌股关节跳动。
