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[Arthroscopic double-bundle double-tunnel anterior cruciate ligament reconstruction using multi-strand hamstring autograft].

Abstract

OBJECTIVE

To explore surgical reconstruction and clinical effect of arthroscopic double-bundle double-tunnel reconstruction of anterior cruciate ligament (ACL) with multi-strand hamstring tendons autograft.

METHODS

Twenty-one patients (13 males and 8 females) with ACL deficiency were diagnosed with arthroscopy, with an average age of 25.4 (17 approximately 50) years. The 2 separate tibial tunnels and 2 femoral tunnels were drilled on the footprint of the ACL to reconstruct the anteromedial and posterolateral bundles with arthroscopy.Tendons were fixed with Endo-button/polyester tape constructs at the femoral side and with biodegradable interference screw at the tibial side.

RESULTS

All patients were followed up for 15.8 (13 approximately 23) months. The anterior drawer test was positive in all patients and Lachman test was positive in all but 2 preoperatively. The postoperative results of anterior drawer test were negative in all but 1 at 90 degree of knee flextion. Lachman test was positive in 1, suspiciously positive in 1 and negative in other patients. The Lysholm knee score increased from 36 approximately 58 preoperatively to 71 approximately 95 postoperatively and the fineness rate was 95.2%.

CONCLUSION

Arthroscopic double-bundle double-tunnel reconstruction ACL with multi-strand hamstring tendons autograft is effective and reliable to restore the better dynamic stability of the knee.

Authors+Show Affiliations

Department of Orthopedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Studies
Journal Article
Research Support, Non-U.S. Gov't

Language

chi

PubMed ID

19349675

Citation

Zhang, Chunlei, et al. "[Arthroscopic Double-bundle Double-tunnel Anterior Cruciate Ligament Reconstruction Using Multi-strand Hamstring Autograft]." Zhong Nan Da Xue Xue Bao. Yi Xue Ban = Journal of Central South University. Medical Sciences, vol. 34, no. 3, 2009, pp. 216-20.
Zhang C, Chen Y, Huang G, et al. [Arthroscopic double-bundle double-tunnel anterior cruciate ligament reconstruction using multi-strand hamstring autograft]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009;34(3):216-20.
Zhang, C., Chen, Y., Huang, G., Zhu, Y., Zhang, W., & Li, J. (2009). [Arthroscopic double-bundle double-tunnel anterior cruciate ligament reconstruction using multi-strand hamstring autograft]. Zhong Nan Da Xue Xue Bao. Yi Xue Ban = Journal of Central South University. Medical Sciences, 34(3), pp. 216-20.
Zhang C, et al. [Arthroscopic Double-bundle Double-tunnel Anterior Cruciate Ligament Reconstruction Using Multi-strand Hamstring Autograft]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009;34(3):216-20. PubMed PMID: 19349675.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Arthroscopic double-bundle double-tunnel anterior cruciate ligament reconstruction using multi-strand hamstring autograft]. AU - Zhang,Chunlei, AU - Chen,You, AU - Huang,Guoliang, AU - Zhu,Yingchun, AU - Zhang,Wei, AU - Li,Juyuan, PY - 2009/4/8/entrez PY - 2009/4/8/pubmed PY - 2011/4/5/medline SP - 216 EP - 20 JF - Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences JO - Zhong Nan Da Xue Xue Bao Yi Xue Ban VL - 34 IS - 3 N2 - OBJECTIVE: To explore surgical reconstruction and clinical effect of arthroscopic double-bundle double-tunnel reconstruction of anterior cruciate ligament (ACL) with multi-strand hamstring tendons autograft. METHODS: Twenty-one patients (13 males and 8 females) with ACL deficiency were diagnosed with arthroscopy, with an average age of 25.4 (17 approximately 50) years. The 2 separate tibial tunnels and 2 femoral tunnels were drilled on the footprint of the ACL to reconstruct the anteromedial and posterolateral bundles with arthroscopy.Tendons were fixed with Endo-button/polyester tape constructs at the femoral side and with biodegradable interference screw at the tibial side. RESULTS: All patients were followed up for 15.8 (13 approximately 23) months. The anterior drawer test was positive in all patients and Lachman test was positive in all but 2 preoperatively. The postoperative results of anterior drawer test were negative in all but 1 at 90 degree of knee flextion. Lachman test was positive in 1, suspiciously positive in 1 and negative in other patients. The Lysholm knee score increased from 36 approximately 58 preoperatively to 71 approximately 95 postoperatively and the fineness rate was 95.2%. CONCLUSION: Arthroscopic double-bundle double-tunnel reconstruction ACL with multi-strand hamstring tendons autograft is effective and reliable to restore the better dynamic stability of the knee. SN - 1672-7347 UR - https://www.unboundmedicine.com/medline/citation/19349675/[Arthroscopic_double_bundle_double_tunnel_anterior_cruciate_ligament_reconstruction_using_multi_strand_hamstring_autograft]_ L2 - http://xbyxb.csu.edu.cn/xbwk/fileup/PDF/200903216.pdf DB - PRIME DP - Unbound Medicine ER -