ARTHROSCOPIC STUDY OF REMNANT-PRESERVED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LUDaifeng , XIAOMochao , ZHANGYunpeng , YANShi , DONGFeng ,  LIANYongyun

Department of Orthopedics, the Fourth Affiliated Hospital of Harbin Medical University, Harbin Heilongjiang, 150001, P.R.China;

Corresponding?author：

LIANYongyun, Email: lancelian@126.com

Keywords：

Anterior cruciate ligament; Remnant preservation; Ligament reconstruction; Arthroscopy

DOI：

10.7507/1002-1892.20150203

Video：

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Objective To investigate the value of ligament remnant preservation during anterior cruciate ligament (ACL) reconstruction by observing the integrity, the tension, the synovial membrane covering, and the color of the reconstructed ligament under arthroscopy. Methods Between January 2011 and December 2013, 122 patients who underwent ACL reconstruction and arthroscopic internal fixation removal at 1 year after reconstruction were included in this study. Of these cases, 61 cases underwent ACL reconstruction using the remnant-preserved technique (preservation group);the other 61 cases underwent ACL reconstruction using non remnant-preserved technique (non preservation group). There was no significant difference in gender, age, injury side, body mass index, type of injury, the time from injury to reconstruction, and the result of KT-2000 examination between 2 groups (P<0.05). The reconstructed ACL were observed under arthroscopy when internal fixation was removed, and the effectiveness was evaluated according to the criteria of AO Yingfang. Results In preservation group, the results were excellent in 34 cases, good in 22 cases, fair in 4 cases, and poor in 1 case;and in non preservation group, the results were excellent in 29 cases, good in 20 cases, fair in 10 cases, and poor in 2 cases;and there was no significant difference between 2 groups (Z=-1.320, P=0.187). Conclusion In ACL reconstruction, the remnant-preserved technique is not obviously better than non remnant-preserved technique in the integrity, tension, membrane covering, and color.

Citation： LUDaifeng, XIAOMochao, ZHANGYunpeng, YANShi, DONGFeng, LIANYongyun. ARTHROSCOPIC STUDY OF REMNANT-PRESERVED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(8): 941-944. doi: 10.7507/1002-1892.20150203 Copy

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2.	Siebold R,Dehler C,Ellert T.Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction.Arthroscopy,2008,24(2):137-145.
3.	Wang CL,Hsiao CK,Hsu AT,et al.Biocompatibility and mechanical property of LARS artificial ligament with tissue ingrowth.Journal of Mechanics in Medicine and Biology,2013,12(1):1211-1215.
4.	Schindler OS.Surgery for anterior cruciate ligament deficiency:a historical perspective.Knee Surg Sports Traumatol Arthrosc,2012,20(1):5-47.
5.	敖英芳.膝關節交叉韌帶外科學.北京:北京大學醫學出版社,2009:281-283.
6.	Yasuda K,van Eck CF,Hoshino Y,et al.Anatomic single- and double-bundle anterior cruciate ligament reconstruction,part 1:Basic science.Am J Sports Med,2011,39(8):1789-1799.
7.	Kopf S,Pombo MW,Szczodry M,et al.Size variability of the human anterior cruciate ligament insertion sites.Am J Sports Med,2011,39(1):108-113.
8.	Kapoor B,Clement DJ,Kirkley A,et al.Current practice in the management of anterior cruciate ligament injuries in the United Kingdom.Br J Sports Med,2004,38(5):542-544.
9.	Ochi M,Adachi N,Deie M,et al.Anterior cruciate ligament augmentation procedure with a l-incision technique:anteromedial bundle or posterolateral bundle reconstruction.Arthroscopy,2006,22(4):463.el-5.
10.	Flanigan DC,Kanneganti P,Quinn DP,et al.Comparison of ACL fixation devices using cadaveric grafts.J Knee Surg,2011,24(3):175-180.
11.	Aglietti P,Giron F,Buzzi R,et al.Anterior cruciate ligament reconstruction:bone-patellar tendon-bone compared with double semitendinosus and gracilis tendon grafts.A prospective,randomized clinical trial.J Bone Joint Surg (Am),2004,86-A (10):2143-2155.
12.	劉玉杰,敖英芳,陳世益.膝關節韌帶損傷修復與重建.2版.北京:人民衛生出版社,2014:175-180.
13.	Mirza F,Mai DD,Kirkley A,et al.Management of injuies to the anterior cruciament:results of a survey of orthopaedic sugeons in Canada.Clin J Sport Med,2000,10(2):85-88.
14.	Siebold R.The concept of complete footprint restoration with guidelines for single- and double-bundle ACL reconstruction.Knee Surg Sports Traumatol Arthrosc,2011,19(5):699-706.
15.	Adachi N,Ochi M,Uchio Y,et al.Anterior cruciate ligament augmentation under arthroscopy.A minimum 2-year follow-up in 40 patients.Arch Orthop Trauma Surg,2000,120(3-4):128-133.
16.	Lee BI,Kwon SW,Kim JB,et al.Comparison of clinical results according to amount of preserved remnant in arthroscopic anterior cruciate ligament reconstruction using quadrupled hamstring graft.Arthroscopy,2008,24(5):560-568.
17.	Iriuchishima T,Horaguchi T,Kubomura T,et al.Evaluation of the intercondylar roof impingement after anatomical double-bundle anterior cruciate ligament reconstruction using 3D-CT.Knee Surg Sports Traumatol Arthrosc,2011,19(4):674-679.

1. Martinek V,Latterman C,Usas A,et al.Enhancement of tedon-bone integration of anterior cruciate ligament grafts with bone morphogenetic protein-2 gene transfer:a histological and biomechanical study.J Bone Joint Surg (Am),2002,84(7):1123-1131.
2. Siebold R,Dehler C,Ellert T.Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction.Arthroscopy,2008,24(2):137-145.
3. Wang CL,Hsiao CK,Hsu AT,et al.Biocompatibility and mechanical property of LARS artificial ligament with tissue ingrowth.Journal of Mechanics in Medicine and Biology,2013,12(1):1211-1215.
4. Schindler OS.Surgery for anterior cruciate ligament deficiency:a historical perspective.Knee Surg Sports Traumatol Arthrosc,2012,20(1):5-47.
5. 敖英芳.膝關節交叉韌帶外科學.北京:北京大學醫學出版社,2009:281-283.
6. Yasuda K,van Eck CF,Hoshino Y,et al.Anatomic single- and double-bundle anterior cruciate ligament reconstruction,part 1:Basic science.Am J Sports Med,2011,39(8):1789-1799.
7. Kopf S,Pombo MW,Szczodry M,et al.Size variability of the human anterior cruciate ligament insertion sites.Am J Sports Med,2011,39(1):108-113.
8. Kapoor B,Clement DJ,Kirkley A,et al.Current practice in the management of anterior cruciate ligament injuries in the United Kingdom.Br J Sports Med,2004,38(5):542-544.
9. Ochi M,Adachi N,Deie M,et al.Anterior cruciate ligament augmentation procedure with a l-incision technique:anteromedial bundle or posterolateral bundle reconstruction.Arthroscopy,2006,22(4):463.el-5.
10. Flanigan DC,Kanneganti P,Quinn DP,et al.Comparison of ACL fixation devices using cadaveric grafts.J Knee Surg,2011,24(3):175-180.
11. Aglietti P,Giron F,Buzzi R,et al.Anterior cruciate ligament reconstruction:bone-patellar tendon-bone compared with double semitendinosus and gracilis tendon grafts.A prospective,randomized clinical trial.J Bone Joint Surg (Am),2004,86-A (10):2143-2155.
12. 劉玉杰,敖英芳,陳世益.膝關節韌帶損傷修復與重建.2版.北京:人民衛生出版社,2014:175-180.
13. Mirza F,Mai DD,Kirkley A,et al.Management of injuies to the anterior cruciament:results of a survey of orthopaedic sugeons in Canada.Clin J Sport Med,2000,10(2):85-88.
14. Siebold R.The concept of complete footprint restoration with guidelines for single- and double-bundle ACL reconstruction.Knee Surg Sports Traumatol Arthrosc,2011,19(5):699-706.
15. Adachi N,Ochi M,Uchio Y,et al.Anterior cruciate ligament augmentation under arthroscopy.A minimum 2-year follow-up in 40 patients.Arch Orthop Trauma Surg,2000,120(3-4):128-133.
16. Lee BI,Kwon SW,Kim JB,et al.Comparison of clinical results according to amount of preserved remnant in arthroscopic anterior cruciate ligament reconstruction using quadrupled hamstring graft.Arthroscopy,2008,24(5):560-568.
17. Iriuchishima T,Horaguchi T,Kubomura T,et al.Evaluation of the intercondylar roof impingement after anatomical double-bundle anterior cruciate ligament reconstruction using 3D-CT.Knee Surg Sports Traumatol Arthrosc,2011,19(4):674-679.

Chinese Journal of Reparative and Reconstructive Surgery

ARTHROSCOPIC STUDY OF REMNANT-PRESERVED RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT

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