Bach B R, Levy M E, Bojchuk J, Tradonsky S, Bush-Joseph C A, Khan N H
Department of Orthopaedic Surgery, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612, USA.
Am J Sports Med. 1998 Jan-Feb;26(1):30-40. doi: 10.1177/03635465980260012201.
We conducted a retrospective, minimum 2-year follow-up study to evaluate the effectiveness of a single-incision endoscopic anterior cruciate ligament reconstruction technique using patellar tendon autograft without extraarticular augmentation and followed by accelerated rehabilitation. One hundred three patients were evaluated (mean followup, 36 months; range, 24 to 55). There were significant improvements in physical examination test results (Lachman, anterior drawer, and pivot shift) postoperatively, and 94 patients (91%) had negative pivot shift results. KT-1000 arthrometric testing showed a significant reduction in manual maximum anterior translation and side-to-side differences at followup. Good range of motion was achieved. Patients with asymmetric prone heel heights usually had hyperextension in the contralateral knee. Functional tests showed 4% to 6% differences in side-to-side comparisons for a timed single-legged hop, single-legged hop for distance, and vertical jump. Postoperatively, the results of the Tegner scale were similar to preinjury scores. The mean results of the Hospital for Special Surgery scale (90), Lysholm score (89), and Noyes sport function score (90) were all excellent or good. Only 5 patients (5%) required reoperations for flexion contractures. Ninety-six patients (93%) reported they were "mostly" or "completely" satisfied, and 98 (95%) would recommend the procedure to others. These results demonstrated encouraging outcome using this single-incision technique.
我们进行了一项回顾性研究，对采用自体髌腱且不进行关节外增强并随后进行加速康复的单切口内镜下前交叉韧带重建技术的有效性进行了至少2年的随访评估。共评估了103例患者（平均随访36个月；范围为24至55个月）。术后体格检查结果（Lachman试验、前抽屉试验和轴移试验）有显著改善，94例患者（91%）轴移试验结果为阴性。KT - 1000关节测量测试显示随访时手动最大前向移位及两侧差异显著减小。实现了良好的活动范围。俯卧位足跟高度不对称的患者对侧膝关节通常有过伸。功能测试显示，定时单腿跳跃、单腿跳远和垂直跳跃的两侧对比差异为4%至6%。术后，Tegner量表结果与伤前评分相似。特殊外科医院量表（90分）、Lysholm评分（89分）和Noyes运动功能评分（90分）的平均结果均为优或良。只有5例患者（5%）因屈曲挛缩需要再次手术。96例患者（93%）报告他们“大部分”或“完全”满意，98例患者（95%）会向他人推荐该手术。这些结果表明采用这种单切口技术的效果令人鼓舞。
