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[Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Jul 15; 34(7):843-847.ZX

Abstract

Objective

To investigate the effectiveness of anterior cruciate ligament (ACL) reconstruction with the autologous ipsilateral peroneus longus tendon (PLT) under arthroscopy.

Methods

A retrospective study was conducted on 35 patients with ACL rupture who underwent ACL reconstruction with autologous ipsilateral PLT under arthroscopy between October 2017 and October 2018. There were 19 males and 16 females with an average age of 43.4 years (range, 18-60 years), with 20 cases of left knee and 15 cases of right knee. The causes of injury included traffic accident in 14 cases, falling injury in 13 cases, and sports injury in 8 cases. The time from injury to operation ranged from 3 to 9 days (mean, 4.7 days). The patients suffered from swelling, pain, and limited mobility of knee joint before operation. The anterior drawer test, Lachman test, and pivot-shift test were positive before operation, whereas MRI was taken to confirm the ACL rupture. After operation, the patients were followed up every 3 months until the knee joint's function returned to normal. MRI and X-ray films were used to observe the tendon-bone healing as well as the position of Endobutton suspension plate and hollow nail. The anterior drawer test, Lachman test, and pivot-shift test were conducted to observe the improvement of knee joint mobility. The functional improvements were evaluated by the International Knee Documents Committee (IKDC) score, Lysholm score, knee injury and osteoarthritis (KOOS) score.

Results

All the 35 patients were followed up 12-18 months, with an average of 14.2 months. The incisions healed by first intention, and no complications such as infection, joint stiffness, and rerupture occurred. Postoperative anterior drawer test, Lachman test, and pivot-shift test turned to be negative of all patients. MRI showed that the ACL was continuous, and the tendon-bone in the distal femur tunnel and proximal tibia tunnel recovered well after operation. X-ray films showed that the positions of Endobutton suspension plate and hollow nail were stable. The IKDC, Lysholm, and KOOS scores at 3, 6, and 12 months after operation were significantly improved when compared with those before operation, and the scores were further improved with time after operation (P<0.05).

Conclusion

For patients with ACL rupture, ACL reconstruction with the autologous ipsilateral PLT under arthroscopy has satisfactory effectiveness of quick recovery, good function, and great stability.

Authors+Show Affiliations

Department of Joint Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563003, P.R.China.Department of Joint Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563003, P.R.China.Department of Joint Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563003, P.R.China.Department of Joint Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563003, P.R.China.

Pub Type(s)

Journal Article

Language

chi

PubMed ID

32666726

Citation

Yu, Hao, et al. "[Arthroscopic Reconstruction of Anterior Cruciate Ligament With Autologous Ipsilateral Peroneus Longus Tendon]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 34, no. 7, 2020, pp. 843-847.
Yu H, Deng W, Sang P, et al. [Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020;34(7):843-847.
Yu, H., Deng, W., Sang, P., & Liu, Y. (2020). [Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 34(7), 843-847. https://doi.org/10.7507/1002-1892.201911145
Yu H, et al. [Arthroscopic Reconstruction of Anterior Cruciate Ligament With Autologous Ipsilateral Peroneus Longus Tendon]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Jul 15;34(7):843-847. PubMed PMID: 32666726.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Arthroscopic reconstruction of anterior cruciate ligament with autologous ipsilateral peroneus longus tendon]. AU - Yu,Hao, AU - Deng,Wanqiu, AU - Sang,Peng, AU - Liu,Yi, PY - 2020/7/16/entrez PY - 2020/7/16/pubmed PY - 2020/7/16/medline KW - Peroneus longus tendon KW - anterior cruciate ligament KW - arthroscopy KW - ligament reconstruction SP - 843 EP - 847 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 - 34 IS - 7 N2 - Objective: To investigate the effectiveness of anterior cruciate ligament (ACL) reconstruction with the autologous ipsilateral peroneus longus tendon (PLT) under arthroscopy. Methods: A retrospective study was conducted on 35 patients with ACL rupture who underwent ACL reconstruction with autologous ipsilateral PLT under arthroscopy between October 2017 and October 2018. There were 19 males and 16 females with an average age of 43.4 years (range, 18-60 years), with 20 cases of left knee and 15 cases of right knee. The causes of injury included traffic accident in 14 cases, falling injury in 13 cases, and sports injury in 8 cases. The time from injury to operation ranged from 3 to 9 days (mean, 4.7 days). The patients suffered from swelling, pain, and limited mobility of knee joint before operation. The anterior drawer test, Lachman test, and pivot-shift test were positive before operation, whereas MRI was taken to confirm the ACL rupture. After operation, the patients were followed up every 3 months until the knee joint's function returned to normal. MRI and X-ray films were used to observe the tendon-bone healing as well as the position of Endobutton suspension plate and hollow nail. The anterior drawer test, Lachman test, and pivot-shift test were conducted to observe the improvement of knee joint mobility. The functional improvements were evaluated by the International Knee Documents Committee (IKDC) score, Lysholm score, knee injury and osteoarthritis (KOOS) score. Results: All the 35 patients were followed up 12-18 months, with an average of 14.2 months. The incisions healed by first intention, and no complications such as infection, joint stiffness, and rerupture occurred. Postoperative anterior drawer test, Lachman test, and pivot-shift test turned to be negative of all patients. MRI showed that the ACL was continuous, and the tendon-bone in the distal femur tunnel and proximal tibia tunnel recovered well after operation. X-ray films showed that the positions of Endobutton suspension plate and hollow nail were stable. The IKDC, Lysholm, and KOOS scores at 3, 6, and 12 months after operation were significantly improved when compared with those before operation, and the scores were further improved with time after operation (P<0.05). Conclusion: For patients with ACL rupture, ACL reconstruction with the autologous ipsilateral PLT under arthroscopy has satisfactory effectiveness of quick recovery, good function, and great stability. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/32666726/[Arthroscopic_reconstruction_of_anterior_cruciate_ligament_with_autologous_ipsilateral_peroneus_longus_tendon]_ L2 - https://medlineplus.gov/kneeinjuriesanddisorders.html DB - PRIME DP - Unbound Medicine ER -