Baid Mahak, Hait Shamik, Daga Saurabh, Das Ayon, Kumar Mandal Asish, Sam Jerry, Dhandapani Karthikeyan, Amjad Ali, D'sa Prashanth
Orthopaedics, Aneurin Bevan University Health Board, Newport, GBR.
Orthopaedics, Baksi Orthopaedics Trauma and Rehabilitation Centre, Kolkata, IND.
Cureus. 2024 Sep 10;16(9):e69069. doi: 10.7759/cureus.69069. eCollection 2024 Sep.
The anterior cruciate ligament (ACL) consists of an anteromedial bundle and a posterolateral bundle giving anteroposterior and rotational stability to the knee. An ACL tear might lead to secondary changes in the knee joint if not operated in time. The aim of the study was to evaluate the clinical and functional results in patients with ACL tears treated by arthroscopic reconstruction using the anatomic single-bundle technique.
This was a prospective study conducted between June 2015 and December2017 at a teaching institute in Kolkata, India, on patients who underwent single-bundle arthroscopic reconstruction of an ACL tear. A minimum follow-up of nine months was considered for all patients. The functional outcome was assessed via the Lysholm knee score.
A total of 45 patients were included in this study, of which 34 (75.56%) and eight (17.78%) patients showed excellent and good results, respectively, at the final follow-up. The mean age in this study was 29.88±9.02 years. No complication was seen in 95.6% of patients. The mean Lysholm score by the end of nine months was 95.31±6.55. At the time of the final follow-up, all the patients returned to their same activity status prior to injury.
Arthroscopic anatomic single-bundle ACL reconstruction using hamstring autograft is an effective treatment modality for ACL injuries. It restores the stability of the knee and is associated with good recovery of joint function with an early return to active lifestyle and sports activities. This procedure achieves excellent clinical and functional outcomes without any long-term disability.
前交叉韧带（ACL）由前内侧束和后外侧束组成，为膝关节提供前后向和旋转稳定性。如果不及时手术，ACL撕裂可能会导致膝关节继发改变。本研究的目的是评估采用解剖单束技术经关节镜重建治疗ACL撕裂患者的临床和功能结果。
这是一项前瞻性研究，于2015年6月至2017年12月在印度加尔各答的一家教学机构对接受ACL撕裂单束关节镜重建的患者进行。所有患者的最短随访时间为9个月。通过Lysholm膝关节评分评估功能结果。
本研究共纳入45例患者，其中34例（75.56%）和8例（17.78%）患者在最终随访时分别显示出优秀和良好的结果。本研究中的平均年龄为29.88±9.02岁。95.6%的患者未出现并发症。9个月末的平均Lysholm评分为95.31±6.55。在最终随访时，所有患者均恢复到受伤前的相同活动状态。
采用自体腘绳肌腱经关节镜解剖单束ACL重建是治疗ACL损伤的一种有效治疗方式。它恢复了膝关节的稳定性，并与关节功能的良好恢复相关，能早期恢复积极的生活方式和体育活动。该手术取得了优异的临床和功能结果，且无任何长期残疾。
