北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 运动医学研究所  > 期刊论文
学科主题: 临床医学
题名:
Second-Look Arthroscopic Evaluation of Chondral Lesions After Isolated Anterior Cruciate Ligament Reconstruction Single-Versus Double-Bundle Reconstruction
作者: 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
发表日期: 2013-10-01
DOI: 10.1177/0363546513496064
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/50676
Appears in Collections:北京大学第三临床医学院_运动医学研究所_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: Peking Univ, Hosp 3, Inst Sports Med, Beijing 100191, Peoples R China

Recommended Citation:
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.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Gong, Xi]'s Articles
[Jiang, Dong]'s Articles
[Wang, Yong-jian]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Gong, Xi]‘s Articles
[Jiang, Dong]‘s Articles
[Wang, Yong-jian]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace