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双束与单束前交叉韧带重建手术:一项随访超过1年的前瞻性研究

Double-Versus Single-Bundle Anterior Cruciate Ligament Reconstructive Surgery: A Prospective Study With >1 Year Follow-Up.

作者信息

Das Udayan, Patra Gopabandhu, Das Biswajit, Pradhan Sandeep

机构信息

Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.

Department of Orthopaedics, Bhima Bhoi Medical College, Balangir, IND.

出版信息

Cureus. 2023 Aug 1;15(8):e42829. doi: 10.7759/cureus.42829. eCollection 2023 Aug.


DOI:10.7759/cureus.42829
PMID:37664285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10471894/
Abstract

Background The increased prevalence of knee trauma predominantly adds to the anterior cruciate ligament (ACL) tear frequencies that require single- or double-bundle reconstructive surgeries. Few studies have demonstrated the superior results of double-bundle reconstruction compared to single-bundle approaches. This study investigated the knee function improvement capacity of both reconstruction techniques in patients with ACL tears. Methods Thirty cases with ACL tears have been enrolled and segregated equally in distinct (single-bundle versus double-bundle) batches. The diagnostic assessments were undertaken through comprehensive clinical history, knee radiographs, Lysholm scoring, the International Knee Documentation Committee (IKDC) scale, the Lachman analysis, the International Knee Documentation Committee (IKDC) scale, and the pivot shift method. Results After one year, there was a significant enhancement in the postoperative versus preoperative Lysholm scores in the single-bundle (58.5 ± 21.2 vs. 82.4 ± 26.2, p<0.001) and double-bundle (86.4 ± 22.8 vs 60.3 ± 19.2, p<0.001) groups. There was a significant improvement in the IKDC scores after a follow-up period of one year (p-value: 0.012 and p-value: 0.002, respectively) in both of the study batches. After a year of follow-up, Lysholm scores (p=0.352) and IKDC scores (p=0.574) between the study groups (82.4 ± 26.2 vs. 86.4 ± 22.8) were comparable. Conclusion The clinical outcomes remained comparable between subjects with single-bundle reconstruction versus double-bundle reconstruction subjects with ACL injuries. Findings were similar between the groups after one year and two years of surgical interventions.

摘要

背景 膝关节创伤患病率的增加主要导致前交叉韧带(ACL)撕裂频率上升,这需要进行单束或双束重建手术。很少有研究表明双束重建与单束重建方法相比具有更优的效果。本研究调查了ACL撕裂患者中两种重建技术对膝关节功能的改善能力。方法 纳入30例ACL撕裂患者,并将其平均分为不同批次(单束与双束)。通过全面的临床病史、膝关节X线片、Lysholm评分、国际膝关节文献委员会(IKDC)量表、Lachman试验、IKDC量表和轴移试验进行诊断评估。结果 一年后,单束组(58.5±21.2对82.4±26.2,p<0.001)和双束组(86.4±22.8对60.3±19.2,p<0.001)术后Lysholm评分较术前均有显著提高。两组在随访一年后IKDC评分均有显著改善(p值分别为0.012和0.002)。随访一年后,研究组间Lysholm评分(p=0.352)和IKDC评分(p=0.574)相当(82.4±26.2对86.4±22.8)。结论 ACL损伤患者单束重建与双束重建的临床结果相当。手术干预一年和两年后,两组结果相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58fd/10471894/e412befd507d/cureus-0015-00000042829-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58fd/10471894/8ed9e7fd004e/cureus-0015-00000042829-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58fd/10471894/030b61f87527/cureus-0015-00000042829-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58fd/10471894/e412befd507d/cureus-0015-00000042829-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58fd/10471894/8ed9e7fd004e/cureus-0015-00000042829-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58fd/10471894/030b61f87527/cureus-0015-00000042829-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58fd/10471894/e412befd507d/cureus-0015-00000042829-i03.jpg

相似文献

[1]
Double-Versus Single-Bundle Anterior Cruciate Ligament Reconstructive Surgery: A Prospective Study With >1 Year Follow-Up.

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[2]
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[3]
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[5]
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[6]
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[7]
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Arch Orthop Trauma Surg. 2022-6

[8]
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[9]
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[10]
[Augmentation of the Anterior Cruciate Ligament in Patients with Symptomatic Isolated Tear of Anteromedial or Posterolateral Bundle: Evaluation of Two-Year Clinical Results].

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引用本文的文献

[1]
Anterior Cruciate Ligament Rupture: Evidence-Based Concepts on Reconstruction, Repair and Future Developments.

Cureus. 2024-8-27

本文引用的文献

[1]
Single Bundle Versus Double Bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.

Indian J Orthop. 2022-8-29

[2]
Superior results of return to sport after double-bundle versus single-bundle anterior cruciate ligament reconstruction in young active patients.

Knee Surg Sports Traumatol Arthrosc. 2022-12

[3]
Minimizing the risk of graft failure after anterior cruciate ligament reconstruction in athletes. A narrative review of the current evidence.

J Exp Orthop. 2022-3-15

[4]
The Statistical Fragility of Single-Bundle vs Double-Bundle Autografts for ACL Reconstruction: A Systematic Review of Comparative Studies.

Orthop J Sports Med. 2021-12-20

[5]
Supplementary Lateral Extra-articular Tenodesis for Residual Anterolateral Rotatory Instability in Patients Undergoing Single-Bundle Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Randomized Controlled Trials.

Orthop J Sports Med. 2021-5-7

[6]
Anatomic single vs. double-bundle ACL reconstruction: a randomized clinical trial-Part 1: clinical outcomes.

Knee Surg Sports Traumatol Arthrosc. 2021-8

[7]
Single-Bundle Versus Double-Bundle Arthroscopic Anterior Cruciate Ligament Reconstruction: Comparison of Long-Term Functional Outcomes.

Cureus. 2020-12-23

[8]
Anterior Cruciate Ligament Repair with Suture Augmentation for Proximal Avulsion Injuries.

Arthrosc Sports Med Rehabil. 2020-8-20

[9]
ACL reconstruction using a bone patellar tendon bone (BPTB) allograft or a hamstring tendon autograft (GST): a single-center comparative study.

Acta Biomed. 2019-12-5

[10]
Anterior Cruciate Ligament Injury Risk in Sport: A Systematic Review and Meta-Analysis of Injury Incidence by Sex and Sport Classification.

J Athl Train. 2019-4-22

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