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The Results Of Reconstruction Of The Anterior Cruciate Ligament Using The “Endobutton CL” System And Four-Strand Hamstring Tendon Autografts

机译:“ Endobutton CL”系统和四链Ham绳肌腱自体移植重建前交叉韧带的结果

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Summary Objective: The aim of the study was to evaluate the results of anterior cruciate ligament (ACL) reconstruction using a hamstring tendon autograft. Material and Method: The study included 74 male, 2 female patients (mean age 26,7 years; range 17 to 43 years) with chronic ACL ruptures. Invol-vement was in the right knee in 39 patients, and in the left knee in 37 patients. All the patients were treated with a four-strand hamstring autograft, Endobutton CL femoral fixation and an interference screw on the tibial side. All patients had an ACL reconstruction with an autogenous four-strand hamstring graft. Forty-one patients received treatment for other meniscal pathologies. All patients followed a similar accelerated rehabilitation program after surgery. Final evaluations were made using the Lysholm and International Knee Documentation Committee (IKDC) scoring systems, Cincinati and the Tegner activity rating system in the final follow-up.Results: The Lysholm scores were good and excellent for 67 patients (88,2 %) and the IKDC scores were grade A or B in 68 patients (89,4 %) and grade C in 8 patients (10,5 %). Radiographic examination showed mild (three patients) or moderate (two patients) degenerative changes in the knee joint. Compared with the normal side, no flexion or extension losses occurred in the affected knees.Conclusion: Reconstruction of the ACL using four-strand hamstring tendons and Endobutton CL femoral fixation may be a safe and effective method, resulting in considerably high success rates. Top
机译:摘要目的:本研究的目的是评估使用a绳肌腱自体移植重建前交叉韧带(ACL)的结果。材料和方法:该研究包括74例男性,2例慢性ACL破裂的女性患者(平均年龄26.7岁;范围17至43岁)。右膝入路39例,左膝入路37例。所有患者均接受四链str绳肌自体移植,Endobutton CL股骨固定和胫骨侧干涉螺钉治疗。所有患者均进行了自体四链string绳肌腱移植的ACL重建。 41名患者接受了其他半月板病变的治疗。所有患者术后均遵循类似的加速康复计划。在最后的随访中,使用了Lysholm和国际膝关节文献委员会(IKDC)评分系统,Cincinati和Tegner活动评分系统进行了最终评估。结果:67例患者的Lysholm评分良好且优良(88,2%) IKDC评分为68例(89.4%)为A级或B级,而8例(10.5%)为C级。影像学检查显示膝关节有轻度(3例)或中度(2例)退行性改变。与正常侧相比,受影响的膝盖没有屈曲或伸展损失。结论:使用四链绳肌腱和Endobutton CL股骨固定重建ACL可能是一种安全有效的方法,成功率很高。最佳

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