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学科主题临床医学
Second-Look Arthroscopic Evaluation of Chondral Lesions After Isolated Anterior Cruciate Ligament Reconstruction Single-Versus Double-Bundle Reconstruction
Gong, Xi; Jiang, Dong; Wang, Yong-jian; Wang, Jian; Ao, Ying-fang; Yu, Jia-kuo
关键词Anterior Cruciate Ligament Double-bundle Reconstruction Cartilage Second-look Arthroscopy
刊名AMERICAN JOURNAL OF SPORTS MEDICINE
2013-10-01
DOI10.1177/0363546513496064
41期:10页:2362-2367
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Orthopedics ; Sport Sciences
研究领域[WOS]Orthopedics ; Sport Sciences
关键词[WOS]3-DIMENSIONAL COMPUTED-TOMOGRAPHY ; TENDON-BONE AUTOGRAFT ; KNEE OSTEOARTHRITIS ; ACL RECONSTRUCTION ; FOLLOW-UP ; CARTILAGE ; ALLOGRAFT ; INJURY
英文摘要

Background: Double-bundle (DB) anterior cruciate ligament reconstruction (ACLR) has been reported to yield better joint stability than single-bundle (SB) reconstruction. Few studies have compared the 2 techniques with regard to postoperative articular cartilage changes.

Hypothesis: Less cartilage damage should occur in the short term after DB ACLR than after SB ACLR.

Study Design: Cohort study; Level of evidence, 2.

Methods: The study included 52 patients (27 in the DB group and 25 in the SB group) with no chondral or meniscus injury at primary ACLR, as confirmed under arthroscopy. Four-strand and 6- to 8-strand hamstring autografts, respectively, were used for transtibial SB and 4-tunnel DB reconstruction. Each graft was fixed with an EndoButton bioabsorbable interference screw and a staple. Cartilage status at 6 identified regions was evaluated by second-look arthroscopy and the Outerbridge classification. Other assessments at final follow-up included International Knee Documentation Committee (IKDC) score, Tegner and Lysholm scores, side-to-side difference on KT-2000 arthrometer, and range of motion.

Results: The mean time from reconstruction to second-look arthroscopy was 18.2 and 17.3 months for the DB and SB groups, respectively. Both groups had cartilage lesions at the patellofemoral joint (patella, 9 vs 13; trochlea, 5 vs 12) and the medial compartment (1 vs 2). Significantly less severe lesions were found in the DB group than in the SB group (mean grade, 0.33 vs 0.96; P < .05). No significant differences were found between the 2 groups in terms of cartilage status at other regions, IKDC score, Lysholm score, Tegner score, KT-2000 arthrometer anterior laxity, or range of motion.

Conclusion: Chondral lesions were found postoperatively in both DB and SB ACLR groups with hamstring autograft. The DB ALCR led to less cartilage damage at the femoral trochlea at short-term follow-up.

语种英语
WOS记录号WOS:000325096300020
引用统计
被引频次:11[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50676
专题北京大学第三临床医学院_运动医学研究所
北京大学第三临床医学院_骨科
北京大学口腔医学院_第二门诊部
作者单位Peking Univ, Hosp 3, Inst Sports Med, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Gong, Xi,Jiang, Dong,Wang, Yong-jian,et al. Second-Look Arthroscopic Evaluation of Chondral Lesions After Isolated Anterior Cruciate Ligament Reconstruction Single-Versus Double-Bundle Reconstruction[J]. AMERICAN JOURNAL OF SPORTS MEDICINE,2013,41(10):2362-2367.
APA Gong, Xi,Jiang, Dong,Wang, Yong-jian,Wang, Jian,Ao, Ying-fang,&Yu, Jia-kuo.(2013).Second-Look Arthroscopic Evaluation of Chondral Lesions After Isolated Anterior Cruciate Ligament Reconstruction Single-Versus Double-Bundle Reconstruction.AMERICAN JOURNAL OF SPORTS MEDICINE,41(10),2362-2367.
MLA Gong, Xi,et al."Second-Look Arthroscopic Evaluation of Chondral Lesions After Isolated Anterior Cruciate Ligament Reconstruction Single-Versus Double-Bundle Reconstruction".AMERICAN JOURNAL OF SPORTS MEDICINE 41.10(2013):2362-2367.
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