Department of Orthopaedics, National Orthopaedic Hospital Dala-Kano, Nigeria.
Department of Orthopaedics, National Orthopaedic Hospital Dala-Kano, Nigeria.
Chin J Traumatol. 2024 Jan;27(1):58-62. doi: 10.1016/j.cjtee.2023.09.004. Epub 2023 Sep 26.
Many techniques have been described for the reconstruction of chronic lateral collateral ligament (LCL) rupture with different autograft options. The advantages of percutaneous LCL reconstruction include small incisions, minimal soft tissue disruption, less postoperative pain, and speedy rehabilitation and recovery. The aim of this study was to report the functional outcome of percutaneous LCL reconstruction and overall patient satisfaction in Africans.
This prospective and interventional study involving 51 patients with chronic LCL rupture who had percutaneous LCL reconstruction using peroneus longus autograft was conducted between January 2021 and December 2022 in National Orthopaedic Hospital, Dala-Kano, Nigeria. The inclusion criteria were patients between the ages of 18 and 45 years with chronic isolated LCL and not more than 1 injury of knee ligament. Exclusion criteria were active infection, and multi-ligament knee injury requiring 2-staged surgery. The knee functions were assessed preoperatively, 3 months, 6 months, and 12 months postoperatively using the Lysholm scoring system. Patient satisfaction with the outcome of the treatment was assessed using a 5-point Likert scale. Relevant information was recorded into Microsoft Excel sheet and data was analyzed using SPSS version 23.0 for windows. The paired samples t-test was used to compare the clinical outcomes as continuous variables. Statistical significance was considered at p < 0.05.
The mean age of the patients was (30.10 ± 5.90) years. The median time from injury to surgery was 7 months (ranging from 3 to 28 months). The mean follow-up period was (14.07 ± 3.13) months. The mean preoperative and 1-year postoperative Lysholm scores were 44.33 ± 12.97 and 97.96 ± 1.23, respectively.
Percutaneous LCL reconstruction using peroneus longus autograft significantly improves patient knee function and results in excellent patient satisfaction.
许多技术已被描述用于慢性外侧副韧带（LCL）断裂的重建，并有不同的自体移植物选择。经皮 LCL 重建的优点包括切口小、软组织破坏小、术后疼痛少、康复和恢复迅速。本研究的目的是报告经皮 LCL 重建的功能结果和非洲患者的总体满意度。
这是一项前瞻性的介入研究，共纳入 51 例慢性 LCL 断裂患者，于 2021 年 1 月至 2022 年 12 月在尼日利亚达拉-卡诺国家骨科医院接受了使用腓骨长肌自体移植物的经皮 LCL 重建。纳入标准为年龄在 18 至 45 岁之间、慢性孤立性 LCL 且膝关节韧带损伤不超过 1 处的患者。排除标准为活动性感染和需要 2 期手术的多韧带膝关节损伤。使用 Lysholm 评分系统在术前、术后 3 个月、6 个月和 12 个月评估膝关节功能。使用 5 分 Likert 量表评估患者对治疗结果的满意度。将相关信息记录到 Microsoft Excel 工作表中，并使用 SPSS 版本 23.0 for windows 进行数据分析。使用配对样本 t 检验比较连续变量的临床结果。统计学意义的界值设为 p<0.05。
患者的平均年龄为（30.10±5.90）岁。从受伤到手术的中位数时间为 7 个月（范围为 3 至 28 个月）。平均随访时间为（14.07±3.13）个月。术前和 1 年随访时的 Lysholm 评分分别为 44.33±12.97 和 97.96±1.23。
使用腓骨长肌自体移植物的经皮 LCL 重建显著改善了患者的膝关节功能，并获得了极好的患者满意度。
