Marcacci M, Zaffagnini S, Iacono F, Neri M P, Petitto A
Rizzoli Orthopaedic Institute, Bologna University, Italy.
Am J Sports Med. 1995 Nov-Dec;23(6):690-3. doi: 10.1177/036354659502300610.
We investigated the clinical and laxity testing results at 5 years' followup in patients who had early or late anterior cruciate ligament reconstruction. Twenty-three patients (Group I) were treated within 15 days of injury. Fifty-nine patients (Group II) were treated more than 3 months after injury. Patellar tendon reconstruction and fascia lata graft augmented with a ligament augmentation device were the techniques used in both groups. According to the International Knee Documentation Committee rating scale, 17 patients in Group I and 38 patients in Group II had satisfactory results. The Lysholm score was good in all Group I patients and in 55 Group II patients. Flexion-extension deficits were comparable for both groups. Eighteen patients (78%) in Group I demonstrated satisfactory results according to the KT-2000 arthrometer testing, compared with 44 (75%) in Group II. No associated lesions were present in 12 (52%) cases in Group I, compared with 26 (44%) cases in Group II. Return to sports at the preoperative level was obtained by 21 (91%) patients in Group I, compared with 42 (71%) in Group II. The patients who had reconstruction during the early phase returned to sports activities sooner and had better clinical and laxity testing results.
我们调查了早期或晚期前交叉韧带重建患者在5年随访时的临床和松弛度测试结果。23例患者（I组）在受伤后15天内接受治疗。59例患者（II组）在受伤3个月后接受治疗。两组均采用髌腱重建和使用韧带增强装置增强的阔筋膜张肌移植技术。根据国际膝关节文献委员会评分标准，I组17例患者和II组38例患者结果满意。I组所有患者和II组55例患者的Lysholm评分良好。两组的屈伸缺陷相当。根据KT-2000关节测量仪测试，I组18例患者（78%）结果满意，II组为44例（75%）。I组12例患者（52%）无相关病变，II组为26例（44%）。I组21例患者（91%）恢复到术前的运动水平，II组为42例（71%）。早期进行重建的患者恢复体育活动更快，临床和松弛度测试结果更好。
