Concurrent arthroscopic bicruciate ligament reconstruction using Achilles tendon-bone allografts: experience with 15 cases

Shi De-hai; CAI Dao-zhang; WANG Kun; RONG Li-min; XU Yi-chun

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Concurrent arthroscopic bicruciate ligament reconstruction using Achilles tendon-bone allografts: experience with 15 cases

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Objective: To evaluate the clinical outcome of arthroscopically assisted combined anterior and posterior cruciate ligament (ACL/PCL) reconstructions using Achil-les tendon-bone allografts. Methods: Associated meniscus injuries were treated according to established methods prior to ligament recon-structions during arthroscopic surgery. Thirty Achilles ten-don-bone allografts were used to reconstruct torn ACL and PCL in 15 knees. At postoperative follow-up, all knees were graded using the modified IKDC and the Lysholm scoring systems just as done preoperatively. Results were analyzed compared with the contralateral healthy knees. Results: Eleven men and 4 women with a minimum of 3-year follow-up (mean 38 months) were included in the study. Preoperatively, the group ratings by the modified IKDC standards were all severely abnormal. Twelve bicruciate reconstructions were performed in subacute or chronic stage (>3-8 weeks), 3 for acute ligamentous deficien-cies (≤ 3 weeks). The noticeable early complication was transitory local fever combined with joint effusion in one case. At postoperative follow-up, 9 knees were normal, 5 nearly normal and 1 abnormal. On Lysholm score the differ-ence was statistically significant (t- test, P<0.001) before and after operation. Conclusions: Achilles tendon-bone allograft offers an alternative for simultaneous arthroscopic ACL/PCL reconstructions. However, further investigation is needed to eradicate its potential immunogenicity for better use.

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《中华创伤杂志（英文版）》 |2008年第6期|341-346|共6页
作者
Shi De-hai; CAI Dao-zhang; WANG Kun; RONG Li-min; XU Yi-chun;
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作者单位

Department of Orthopedic Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;

Department of Orthopedic Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;

Department of Orthopedic Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;

Department of Orthopedic Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;

Department of Orthopedic Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;

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原文格式 PDF
正文语种 chi
中图分类外科学;
关键词
Anterior eruciate ligament; Posterior cruciate ligament; Arthroscopy; Achilles tendon;

机译：前十字韧带;后十字韧带;关节镜;跟腱;

Concurrent arthroscopic bicruciate ligament reconstruction using Achilles tendon-bone allografts: experience with 15 cases

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