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[Application of portable bracket of lower limb in reconstruction of anterior cruciate ligament by long fibular muscle tendon under arthroscopy].

Abstract

OBJECTIVE

To investigate the effectiveness of portable bracket of lower limb in the reconstruction of anterior cruciate ligament (ACL) by the long fibular muscle tendon under arthroscopy.

METHODS

Between March 2008 and September 2010, 22 patients with ACL injury were treated. The limb position was maintained by portable bracket of lower limb and ACL was reconstructed with the long fibular muscle tendon under arthroscopy. There were 15 males and 7 females with an average age of 33.8 years (range, 19-64 years). The causes of ACL injury were traffic accident injury in 14 cases, sport trauma in 5 cases, and falling injury in 3 cases. The locations were the left knee in 10 cases and the right knee in 12 cases, including 12 fresh injuries and 10 old injuries. Of 22 patients, 17 had positive anterior drawer test, 19 had positive pivot shift test, and 20 had positive Lachman test. According to International Knee Documentation Committee (IKDC) criteria, there were 6 abnormal and 16 severely abnormal. The subjective IKDC score was 57.64 +/- 6.11. The Lysholm score was 55.45 +/- 4.37.

RESULTS

All incisions healed by first intention, and no complication was found. All patients were followed up 9-38 months (mean, 15 months). At last follow-up, the flexion of the knee ranged from 120 to 135 degrees (mean, 127 degrees). One patient had positive anterior drawer test, 1 patient had positive pivot shift test, and 2 patients had positive Lachman test. No ligament loosening and breakage occurred. According to the IKDC criteria, 10 patients rated as normal, 11 patients as nearly normal, and 1 patient as abnormal. The subjective IKDC score was 90.44 +/- 6.11, showing significant difference when compared with preoperative one (t=4.653, P=0.021). The Lysholm score was 90.12 +/- 5.78, showing significant difference when compared with preoperative one (t=4.231, P=0.028).

CONCLUSION

Portable bracket of lower limb in the reconstruction of ACL has the advantages of saving manpower and easy operation. The long fibular muscle tendon is enough long and strong to reconstruct the ACL, which can increase the contact surface between the tendon and bone and is beneficial to tendon-bone healing.

Authors+Show Affiliations

Traumatic Orthopedic Center of Chinese PLA, 175th Hospital of Chinese PLA, Dongnan Hospital Affiliated to Xiamen University, Zhangzhou Fujian, 363000, P.R.China. gzmin175@163.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

chi

PubMed ID

22792762

Citation

Guo, Zhimin, et al. "[Application of Portable Bracket of Lower Limb in Reconstruction of Anterior Cruciate Ligament By Long Fibular Muscle Tendon Under Arthroscopy]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 26, no. 6, 2012, pp. 679-82.
Guo Z, Zheng J, Lin B, et al. [Application of portable bracket of lower limb in reconstruction of anterior cruciate ligament by long fibular muscle tendon under arthroscopy]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012;26(6):679-82.
Guo, Z., Zheng, J., Lin, B., Ding, Z., & Chen, Z. (2012). [Application of portable bracket of lower limb in reconstruction of anterior cruciate ligament by long fibular muscle tendon under arthroscopy]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 26(6), pp. 679-82.
Guo Z, et al. [Application of Portable Bracket of Lower Limb in Reconstruction of Anterior Cruciate Ligament By Long Fibular Muscle Tendon Under Arthroscopy]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2012;26(6):679-82. PubMed PMID: 22792762.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Application of portable bracket of lower limb in reconstruction of anterior cruciate ligament by long fibular muscle tendon under arthroscopy]. AU - Guo,Zhimin, AU - Zheng,Jiapeng, AU - Lin,Bin, AU - Ding,Zhenqi, AU - Chen,Zhiwen, PY - 2012/7/17/entrez PY - 2012/7/17/pubmed PY - 2013/5/10/medline SP - 679 EP - 82 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 26 IS - 6 N2 - OBJECTIVE: To investigate the effectiveness of portable bracket of lower limb in the reconstruction of anterior cruciate ligament (ACL) by the long fibular muscle tendon under arthroscopy. METHODS: Between March 2008 and September 2010, 22 patients with ACL injury were treated. The limb position was maintained by portable bracket of lower limb and ACL was reconstructed with the long fibular muscle tendon under arthroscopy. There were 15 males and 7 females with an average age of 33.8 years (range, 19-64 years). The causes of ACL injury were traffic accident injury in 14 cases, sport trauma in 5 cases, and falling injury in 3 cases. The locations were the left knee in 10 cases and the right knee in 12 cases, including 12 fresh injuries and 10 old injuries. Of 22 patients, 17 had positive anterior drawer test, 19 had positive pivot shift test, and 20 had positive Lachman test. According to International Knee Documentation Committee (IKDC) criteria, there were 6 abnormal and 16 severely abnormal. The subjective IKDC score was 57.64 +/- 6.11. The Lysholm score was 55.45 +/- 4.37. RESULTS: All incisions healed by first intention, and no complication was found. All patients were followed up 9-38 months (mean, 15 months). At last follow-up, the flexion of the knee ranged from 120 to 135 degrees (mean, 127 degrees). One patient had positive anterior drawer test, 1 patient had positive pivot shift test, and 2 patients had positive Lachman test. No ligament loosening and breakage occurred. According to the IKDC criteria, 10 patients rated as normal, 11 patients as nearly normal, and 1 patient as abnormal. The subjective IKDC score was 90.44 +/- 6.11, showing significant difference when compared with preoperative one (t=4.653, P=0.021). The Lysholm score was 90.12 +/- 5.78, showing significant difference when compared with preoperative one (t=4.231, P=0.028). CONCLUSION: Portable bracket of lower limb in the reconstruction of ACL has the advantages of saving manpower and easy operation. The long fibular muscle tendon is enough long and strong to reconstruct the ACL, which can increase the contact surface between the tendon and bone and is beneficial to tendon-bone healing. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/22792762/[Application_of_portable_bracket_of_lower_limb_in_reconstruction_of_anterior_cruciate_ligament_by_long_fibular_muscle_tendon_under_arthroscopy]_ L2 - https://medlineplus.gov/kneeinjuriesanddisorders.html DB - PRIME DP - Unbound Medicine ER -