IR@PKUHSC  > 北京大学第三临床医学院  > 运动医学研究所
学科主题临床医学
Double-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Allograft Technique and 2- to 5-Year Follow-up
Jiang, Dong; Ao, Ying-Fang; Gong, Xi; Wang, Yong-Jian; Luo, Hao; Chen, Lian-Xu; Wang, Hai-Jun; Xie, Xing; Zhang, Ji-Ying; Yu, Jia-Kuo
关键词Acl Double-bundle Reconstruction Bptb Allograft
刊名AMERICAN JOURNAL OF SPORTS MEDICINE
2012-05-01
DOI10.1177/0363546512440686
40期:5页:1084-1092
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Orthopedics ; Sport Sciences
资助者Peking University Health Science Center ; Peking University Health Science Center
研究领域[WOS]Orthopedics ; Sport Sciences
关键词[WOS]IN-SITU FORCES ; SINGLE-BUNDLE ; ACL RECONSTRUCTION ; BIOMECHANICAL ANALYSIS ; HAMSTRING AUTOGRAFTS ; KNEE MOTION ; METAANALYSIS ; ATTACHMENT ; GRAFTS ; TISSUE
英文摘要

Background: Nonanatomic transtibial single-bundle anterior cruciate ligament reconstruction (SB-ACLR) with a bone-patellar tendon-bone (BPTB) allograft has been used for a long time and has shown the same satisfactory clinical results as an autograft; however, it has not been reported if a double-bundle ACLR (DB-ACLR) could be performed with a BPTB allograft and achieve even better results.

Hypothesis: The DB-ACLR with a BPTB allograft is technically feasible and will be superior to the SB technique in restoring better anterior and rotating stability.

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

Methods: The study was performed with 56 patients, and 52 (25 in the DB group and 27 in the SB group) of them were followed up at 2 to 5 years. With an irradiated deep-frozen BPTB allograft, a standard single-incision arthroscopic technique was used, and the graft was fixed with bioabsorbable interference screws on both the femoral and tibial sides. Outcome assessment at final follow-up included International Knee Documentation Committee (IKDC), Tegner, and Lysholm scores; side-to-side difference by conventional KT-2000 arthrometer; total anteroposterior (AP) laxity by the back-pushing KT-2000 arthrometer; pivot shift (0, +, ++); range of motion (ROM); and isokinetic muscle strength evaluation.

Results: Mean follow-up was 47.3 +/- 11.5 and 58.2 +/- 6.6 months for the DB group and SB group, respectively. A statistically significant difference in favor of the DB group was found with the total AP laxity at 30A (P < .05). The overall incidence of pivot shift in the DB group (4% ++) was significantly lower than that in the SB group (26%: 19% + and 7% ++; P = .029). No significant differences were found between the 2 groups in terms of IKDC score, Lysholm score, Tegner score, conventional KT-2000 arthrometer anterior laxity, ROM, and muscle strength.

Conclusion: A DB-ACLR with a BPTB allograft is feasible and achieved more satisfactory results than the transtibial SB technique in terms of total AP stability and rotational stability in spite of no significant differences among other clinical parameters.

语种英语
资助者Peking University Health Science Center ; Peking University Health Science Center
WOS记录号WOS:000303323900018
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/53511
专题北京大学第三临床医学院_运动医学研究所
作者单位Peking Univ Third Hosp, Inst Sports Med, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Jiang, Dong,Ao, Ying-Fang,Gong, Xi,et al. Double-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Allograft Technique and 2- to 5-Year Follow-up[J]. AMERICAN JOURNAL OF SPORTS MEDICINE,2012,40(5):1084-1092.
APA Jiang, Dong.,Ao, Ying-Fang.,Gong, Xi.,Wang, Yong-Jian.,Luo, Hao.,...&Yu, Jia-Kuo.(2012).Double-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Allograft Technique and 2- to 5-Year Follow-up.AMERICAN JOURNAL OF SPORTS MEDICINE,40(5),1084-1092.
MLA Jiang, Dong,et al."Double-Bundle Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Allograft Technique and 2- to 5-Year Follow-up".AMERICAN JOURNAL OF SPORTS MEDICINE 40.5(2012):1084-1092.
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