ARTHROSCOPIC SINGLE-BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING SIX-STRAND AUTOGRAFT HAMSTRING TENDON PLUS TightRope SUSPENSION PLATE_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 TANHongnue , DAIPengyi , YUANYanhao

Department of Knee Injury, Luoyang Orthopedic-Traumatological Hospital, Henan Orthopedic Hospital, Luoyang Henan, 471002, P.R.China;

Corresponding?author：

TANHongnue, Email: hnlc.love@163.com

Keywords：

Arthroscopy; Anterior cruciate ligament; Hamstring tendon; TightRope suspension plate

DOI：

10.7507/1002-1892.20160141

Video：

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Objective To explore the effectiveness of arthroscopic single-bundle anterior cruciate ligament (ACL) reconstruction using six-strand autograft hamstring tendon plus TightRope suspension plate. Methods Between September 2014 and August 2015, 24 patients with ACL rupture accepted arthroscopic single-bundle ACL reconstruction using six-strand autograft hamstring tendon plus TightRope suspension plate. There were 16 males and 8 females with an age range of 18-54 years (mean, 36.2 years). The disease causes included sport injury in 15 cases, traffic accident injury in 4 cases, and sprain in 5 cases. The mean time from injury to operation was 3.9 months (range, 18 days to 8 months). The results of anterior drawer test, pivot shift test, and Lachman test were positive before operation. The preoperative International Knee Documentation Committee (IKDC) score was 38.69±3.85 and Lysholm knee functional score was 36.45±7.85. Results The incisions healed by first intention. No infection, deep vein thrombosis, or vessel and nerve injuries occurred. MRI showed the good tunnel position and ACL morphology. All patients were followed up 6-16?months with an average of 12 months. At last follow-up, Lysholm and IKDC scores were significantly increased to 81.31±7.58 and 79.62±5.39 respectively (P < 0.05). The results of anterior drawer test were negative in 17 cases and positive degree I in 7 cases; the results of Lachman test were negative in 20 cases and positive degree I in 4?cases; the results of pivot shift test were negative in 21 cases and positive degree I in 3 cases; and all showed significant differences compared with preoperative results (P < 0.05). Conclusion Arthroscopic single-bundle reconstrustion using six-strand autograft hamstring tendon plus TightRope suspension plate is a simple technique for ACL reconstruction, which can obtain satisfactory short-term effectiveness.

Citation： TANHongnue, DAIPengyi, YUANYanhao. ARTHROSCOPIC SINGLE-BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING SIX-STRAND AUTOGRAFT HAMSTRING TENDON PLUS TightRope SUSPENSION PLATE. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(6): 695-699. doi: 10.7507/1002-1892.20160141 Copy

1.	?Ghodadra N, Mall NA, Karas V, et al. Articular and meniscal pathology associated with primary anterior cruciate ligament reconstruction. J Knee Surg, 2013, 26(3): 185-193.
2.	Cournapeau J, Klouche S, Hardy P. Material costs of anterior cruciate ligament reconstrutcion with hamstring tendons by two different techniques. Orthop Traumatol Surg Res, 2013, 99(2): 196-201.
3.	齊勇, 樊粵光, 孫鴻濤. 關節鏡下內減張技術重建膝關節前交叉韌帶的臨床研究. 中國修復重建外科雜志, 2016, 30(2): 138-142.
4.	Yasuda K, Kondo E, Ichiyama H, et al. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy, 2004, 20(10): 1015-1025.
5.	Hefti F, Müller W, Jakob RP, et al. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc, 1993, 1(3-4): 226-234.
6.	Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med, 1982, 10(3): 150-154.
7.	陸偉, 王大平, 肖德明. 前交叉韌帶原位雙束重建技術的臨床研究. 中華關節外科雜志(電子版), 2013, 7(1): 13-19．.
8.	陳百成. 合理選擇單束和雙束移植物重建前交叉韌帶. 中華關節外科雜志(電子版), 2009, 3(2): 137-140．.
9.	Meredick RB, Vance KJ, Appleby D, et al. Outcome of single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a meta-analysis. Am J Sports Med, 2008, 36(7): 1414-1421.
10.	Murawski CD, Wolf MR, Araki D, et al. Anatomic anterior cruciate ligament reconstruction: current concepts and future perspectives. Cartilage, 2013, 4(3 Suppl): 27S-37S.
11.	李興中, 吳恙, 倪東亮, 等. 關節鏡下單束與雙束同種異體腱重建前交叉韌帶的臨床觀察. 中華關節外科雜志(電子版), 2015, 9(1): 45-49.
12.	Tiamklang T, Sumanont S, Foocharoen T, et al. Double-bundle versus single-bundle reconstruction for anterior cruciate ligament?rupture in adults. Cochrane Database Syst Rev, 2012,11: CD008413.
13.	張其亮, 趙蕾, 滕學仁. 保留殘端前交叉韌帶重建對膝關節本體感覺恢復的影響臨床研究. 中國運動醫學雜志, 2015, 34(8): 739-743.
14.	陳輝海, 王弘, 郭哲, 等. 前交叉韌帶自體腘繩肌腱移植單束重建: 患膝關節功能及穩定性1年隨訪. 中國組織工程研究, 2015, 19(2): 246-251.
15.	趙金忠, 蔣垚, 沈灝, 等. 關節鏡下采用四股半腱肌肌腱和縫線鋼板重建前十字韌帶. 中華骨科雜志, 2001, 21(10): 593-597.
16.	趙金忠, 何耀華, 王建華. 關節鏡下采用四股和八股腘繩肌肌腱雙束重建前十字韌帶的比較研究. 中華骨科雜志, 2006, 26(6): 381-385.
17.	Zhao J, Peng X, He Y, et al. Two-bundle anterior cruciate ligament reconstruction with eight-stranded hamstring tendons: four-tunnel technique. Knee, 2006, 13(1): 36-41.
18.	李衛平, 黃建榮, 沈慧勇, 等. 關節鏡下六股自體腘繩肌肌腱脛骨雙隧道重建膝前交叉韌帶. 第三軍醫大學學報, 2008, 30(15): 1404-1407.
19.	季曉輝. 移植物直徑對前交叉韌帶重建術后關節功能及穩定性影響的臨床研究. 石家莊: 河北醫科大學, 2015.
20.	Conner CS, Perez BA, Morris RP, et al. Three femoral fixation devices for anterior cruciate ligament reconstruction: comparison of fixation on the lateral cortex versus the anterior cortex. Arthroscopy, 2010, 26(6): 796-807.
21.	Barrow AE, Pilia M, Guda T, et al. Femoral suspension devices for anterior cruciate ligament reconstruction: do adjustable loops lengthen? Am J Sports Med, 2014, 42(2): 343-349.

1. ?Ghodadra N, Mall NA, Karas V, et al. Articular and meniscal pathology associated with primary anterior cruciate ligament reconstruction. J Knee Surg, 2013, 26(3): 185-193.
2. Cournapeau J, Klouche S, Hardy P. Material costs of anterior cruciate ligament reconstrutcion with hamstring tendons by two different techniques. Orthop Traumatol Surg Res, 2013, 99(2): 196-201.
3. 齊勇, 樊粵光, 孫鴻濤. 關節鏡下內減張技術重建膝關節前交叉韌帶的臨床研究. 中國修復重建外科雜志, 2016, 30(2): 138-142.
4. Yasuda K, Kondo E, Ichiyama H, et al. Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy, 2004, 20(10): 1015-1025.
5. Hefti F, Müller W, Jakob RP, et al. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc, 1993, 1(3-4): 226-234.
6. Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med, 1982, 10(3): 150-154.
7. 陸偉, 王大平, 肖德明. 前交叉韌帶原位雙束重建技術的臨床研究. 中華關節外科雜志(電子版), 2013, 7(1): 13-19．.
8. 陳百成. 合理選擇單束和雙束移植物重建前交叉韌帶. 中華關節外科雜志(電子版), 2009, 3(2): 137-140．.
9. Meredick RB, Vance KJ, Appleby D, et al. Outcome of single-bundle versus double-bundle reconstruction of the anterior cruciate ligament: a meta-analysis. Am J Sports Med, 2008, 36(7): 1414-1421.
10. Murawski CD, Wolf MR, Araki D, et al. Anatomic anterior cruciate ligament reconstruction: current concepts and future perspectives. Cartilage, 2013, 4(3 Suppl): 27S-37S.
11. 李興中, 吳恙, 倪東亮, 等. 關節鏡下單束與雙束同種異體腱重建前交叉韌帶的臨床觀察. 中華關節外科雜志(電子版), 2015, 9(1): 45-49.
12. Tiamklang T, Sumanont S, Foocharoen T, et al. Double-bundle versus single-bundle reconstruction for anterior cruciate ligament?rupture in adults. Cochrane Database Syst Rev, 2012,11: CD008413.
13. 張其亮, 趙蕾, 滕學仁. 保留殘端前交叉韌帶重建對膝關節本體感覺恢復的影響臨床研究. 中國運動醫學雜志, 2015, 34(8): 739-743.
14. 陳輝海, 王弘, 郭哲, 等. 前交叉韌帶自體腘繩肌腱移植單束重建: 患膝關節功能及穩定性1年隨訪. 中國組織工程研究, 2015, 19(2): 246-251.
15. 趙金忠, 蔣垚, 沈灝, 等. 關節鏡下采用四股半腱肌肌腱和縫線鋼板重建前十字韌帶. 中華骨科雜志, 2001, 21(10): 593-597.
16. 趙金忠, 何耀華, 王建華. 關節鏡下采用四股和八股腘繩肌肌腱雙束重建前十字韌帶的比較研究. 中華骨科雜志, 2006, 26(6): 381-385.
17. Zhao J, Peng X, He Y, et al. Two-bundle anterior cruciate ligament reconstruction with eight-stranded hamstring tendons: four-tunnel technique. Knee, 2006, 13(1): 36-41.
18. 李衛平, 黃建榮, 沈慧勇, 等. 關節鏡下六股自體腘繩肌肌腱脛骨雙隧道重建膝前交叉韌帶. 第三軍醫大學學報, 2008, 30(15): 1404-1407.
19. 季曉輝. 移植物直徑對前交叉韌帶重建術后關節功能及穩定性影響的臨床研究. 石家莊: 河北醫科大學, 2015.
20. Conner CS, Perez BA, Morris RP, et al. Three femoral fixation devices for anterior cruciate ligament reconstruction: comparison of fixation on the lateral cortex versus the anterior cortex. Arthroscopy, 2010, 26(6): 796-807.
21. Barrow AE, Pilia M, Guda T, et al. Femoral suspension devices for anterior cruciate ligament reconstruction: do adjustable loops lengthen? Am J Sports Med, 2014, 42(2): 343-349.

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ARTHROSCOPIC SINGLE-BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING SIX-STRAND AUTOGRAFT HAMSTRING TENDON PLUS TightRope SUSPENSION PLATE

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