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学科主题临床医学
Prospective randomized comparison of anatomic single- and double-bundle anterior cruciate ligament reconstruction
Xu, Yan; Ao, Ying-fang; Wang, Jian-quan; Cui, Guo-qing
关键词Anatomic Single bundle Double bundle Anterior cruciate ligament Arthroscopic evaluation
刊名KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
2014-02-01
DOI10.1007/s00167-013-2398-y
22期:2页:308-316
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Orthopedics ; Sport Sciences ; Surgery
研究领域[WOS]Orthopedics ; Sport Sciences ; Surgery
关键词[WOS]ACL RECONSTRUCTION ; CLINICAL-EVALUATION ; TENDON AUTOGRAFT ; FOLLOW-UP ; INCISION ; GRAFTS ; ATTACHMENT ; STABILITY
英文摘要

To determine if anatomic double-bundle anterior cruciate ligament (ACL) reconstruction is superior to anatomic single-bundle reconstruction in restoring the stabilities and functions of the knee joint.

A prospective randomized clinical study was done to compare the results of 32 cases of anatomic single-bundle ACL reconstruction and 34 cases of anatomic double-bundle ACL reconstruction with average follow-up of 16.3 +/- A 3.1 months. Tunnel placements of all the cases were measured on 3D CT. Clinical results were collected after reconstruction; graft′s appearance, meniscus status and cartilage state under arthroscopy were compared and analysed too.

Tunnel placements, confirmed with 3D CT, were in the anatomic positions as described in literature both in SB and DB group. No differences were found between SB and DB groups in clinical outcome scores, pivot shift test and KT 1000 measurements (average side-to-side difference for anterior tibial translation was 0.7 mm in SB group and 1.0 mm in DB group). More than 70 % of the single-bundle graft and AM bundle graft in DB group appeared excellent, but only 44.1 % of PL bundle grafts in DB group were excellent and 11.8 % were in poor state. No new menisci tear was found either in SB or DB group, however, in DB group cartilage damages in medial patella-femoral joint occurred in 38.2 % cases. This rate was significantly higher than in the SB group which is only 9.3 %.

Both single- and double-bundle anatomic ACL reconstruction can restore the knee′s stability and functions very well. However, more incidences of poor PL status and medial patellar-femoral cartilage damage may occur in double-bundle ACL reconstruction.

Randomized controlled trial, Level I.

语种英语
WOS记录号WOS:000330837900011
引用统计
被引频次:28[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/400002259/60998
专题北京大学第三临床医学院_骨科
北京大学第三临床医学院_运动医学研究所
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
Xu, Yan,Ao, Ying-fang,Wang, Jian-quan,et al. Prospective randomized comparison of anatomic single- and double-bundle anterior cruciate ligament reconstruction[J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,2014,22(2):308-316.
APA Xu, Yan,Ao, Ying-fang,Wang, Jian-quan,&Cui, Guo-qing.(2014).Prospective randomized comparison of anatomic single- and double-bundle anterior cruciate ligament reconstruction.KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY,22(2),308-316.
MLA Xu, Yan,et al."Prospective randomized comparison of anatomic single- and double-bundle anterior cruciate ligament reconstruction".KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 22.2(2014):308-316.
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