Das Udayan, Patra Gopabandhu, Das Biswajit, Pradhan Sandeep
Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Department of Orthopaedics, Bhima Bhoi Medical College, Balangir, IND.
Cureus. 2023 Aug 1;15(8):e42829. doi: 10.7759/cureus.42829. eCollection 2023 Aug.
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.
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。
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