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首页> 外文期刊>Rehabilitation Research and Practice >Anterior-Posterior Instability of the Knee Following ACL Reconstruction with Bone-Patellar Tendon-Bone Ligament in Comparison with Four-Strand Hamstrings Autograft
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Anterior-Posterior Instability of the Knee Following ACL Reconstruction with Bone-Patellar Tendon-Bone Ligament in Comparison with Four-Strand Hamstrings Autograft

机译：与四股Ham绳肌腱移植相比，with骨腱腱韧带重建ACL后膝关节的前后不稳定性

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Purpose. To evaluate anterior-posterior knee laxity using two different autografts.Material-Methods. 40 patients, (34 males and 6 women), 17–54 years old (mean: 31), were included in the present study. Group A (4SHS = 20) underwent reconstruction using four-strand hamstrings, and group B (BPBT = 20) underwent reconstruction using bone-patellar tendon-bone autograft. Using the KT-1000 arthrometer, knee instability was calculated in both knees of all patients preoperatively and 3, 6, and 12 months after surgery at the ACL-operated knee. The contralateral healthy knee was used as an internal control group.Results. Anterior-posterior instability using the KT1000 Arthrometer was found to be increased after ACL insufficiency. The recorded laxity improved after arthroscopic ACL reconstruction in both groups. However, statistically significant greater values were detected in the bone-patellar tendon-bone group, which revealed reduction of anteroposterior stability values to an extent, where no statistical significance with the normal values even after 3 months after surgery was observed.Conclusions. Anterior-Posterior instability of the knee improved significantly after arthroscopic ACL reconstruction. The bone-patellar tendon-bone graft provided an obvious greater stability.
机译：目的。使用两种不同的自体移植术评估前后膝关节松弛度。材料方法。本研究包括40例患者，其中17到54岁（平均31例），男34例，男6例。 A组（4SHS = 20）使用四链绳肌进行重建，B组（BPBT = 20）使用骨pat腱-自体骨重建。使用KT-1000关节流量计，在术前以及ACL手术膝关节手术后3、6和12个月内，所有患者的膝盖均计算出了膝关节的不稳定性。将对侧健康膝关节作为内部对照组。发现在ACL功能不全后，使用KT1000关节镜的前后不稳定度增加。两组关节镜ACL重建后，记录的松弛度均得到改善。然而，在-骨腱-骨组中发现了统计学上显着的更高值，这表明前后稳定性降低到一定程度，即使在术后3个月后也没有观察到与正常值的统计学意义。关节镜ACL重建后，膝关节前后不稳定性明显改善。 pat骨腱-骨移植物提供了明显更大的稳定性。

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