Novriansyah R, Sundoko W, Wibowo A, Putra F S
Department of Orthopaedic Surgery, Universitas Diponegoro, Semarang, Indonesia.
Department of Orthopaedic Surgery, Universitas Indonesia, Jakarta, Indonesia.
Malays Orthop J. 2023 Mar;17(1):18-26. doi: 10.5704/MOJ.2303.003.
ACL rupture is the most common type of knee injury. The All-inside ACL reconstruction procedure features some distinguished components including closed-socket tunnels with less bone expulsion, double suspensory fixation, and smaller incisions. We aimed to compare the outcomes between the All-inside Single-bundle and the Double-bundle ACL reconstruction techniques.
This study was a retrospective study which analysed the patient-reported and the clinical outcomes on patients who underwent ACL reconstruction between January and December 2020 at Dr Kariadi General Hospital Semarang, Indonesia. We compared the patient-reported and the clinical outcomes at 6- and 12-month follow-ups between the All-inside Single-bundle and the Double-bundle groups. The patient-reported outcomes were determined using the IKDC and Tegner-Lysholm scores while the clinical outcomes included the measurement of Thigh Circumference, Single Hop test, Anterior Drawer test, Lachman test, Range of motion, and the patient's level of return to sport.
A total of 24 subjects were divided into two groups, namely the All-inside Single-bundle and the Double-bundle groups, consisting of 12 subjects in each group. Most of the subjects were male in both groups, including 9 (75%) subjects in the All-inside Single-bundle group, and 11 (91.67%) subjects in the Double-bundle group. The mean age of the subjects were 25.75±7.57 years old in the All-inside Single-bundle group, and 24.5±6.87 years old in the Double-bundle group. In terms of the side of the knee that suffered the most injuries in both groups were the right knees. The result of the patient-reported outcomes using IKDC and Tegner-Lysholm scores showed no statistically significant differences in both groups at 6- and 12-month follow-ups (p=0.864; p=0.293 and p=0.589; p=0.233, respectively). The results of clinical assessments at 6- and 12-month follow-ups also showed no statistically significant differences in both groups.
Our study showed no significant differences in the patient-reported and the clinical outcomes between the All-inside Single-bundle and the Double-bundle ACL reconstruction techniques at 6- and 12-month follow-ups.
前交叉韧带（ACL）断裂是最常见的膝关节损伤类型。全内置ACL重建手术具有一些显著特点，包括骨排出较少的封闭套接隧道、双悬吊固定和较小的切口。我们旨在比较全内置单束和双束ACL重建技术的疗效。
本研究为回顾性研究，分析了2020年1月至12月在印度尼西亚三宝垄卡里阿迪综合医院接受ACL重建手术患者的自我报告结果和临床疗效。我们比较了全内置单束组和双束组在6个月和12个月随访时的自我报告结果和临床疗效。使用国际膝关节文献委员会（IKDC）和泰格纳-利霍尔姆（Tegner-Lysholm）评分来确定自我报告结果，而临床疗效包括测量大腿围度、单腿跳跃试验、前抽屉试验、拉赫曼试验、活动范围以及患者恢复运动的水平。
总共24名受试者被分为两组，即全内置单束组和双束组，每组各有12名受试者。两组中大多数受试者为男性，全内置单束组有9名（75%）受试者，双束组有11名（91.67%）受试者。全内置单束组受试者的平均年龄为25.75±7.57岁，双束组为24.5±6.87岁。两组中受伤最严重的膝关节部位均为右膝。使用IKDC和Tegner-Lysholm评分的自我报告结果显示，在6个月和12个月随访时，两组之间均无统计学显著差异（分别为p = 0.864；p = 0.293和p = 0.589；p = 0.233）。在6个月和12个月随访时的临床评估结果也显示两组之间无统计学显著差异。
我们的研究表明，在6个月和12个月随访时，全内置单束和双束ACL重建技术在患者自我报告结果和临床疗效方面无显著差异。
