Abstract:Objective To analyze the short-term follow-up of patients with anterior cruciate ligament injury under arthroscopic anterior cruciate ligament stump preservation reconstruction.Methods Eighty patients with anterior cruciate ligament injury treated in our hospital from March 2015 to January 2017 were selected.A simple randomized grouping method was used to assign eligible patients according to the ratio of 1︰1.Those with random numbers ranging from 1 to 40 were the observation group,and those with 41 to 80 were the control group.The control group (40 cases)underwent traditional standard anterior cruciate ligament reconstruction,including 27 males and 13 females;aged 20 to 56 years,with an average(37.73±8.79)years of age.The observation group(40 cases)underwent arthroscopic anterior cruciate ligament retention stump reconstruction,including 24 males and 16 females;aged 21 to 55 years,with an average(38.11±8.46)years of age.The Lysholm knee joint score,the international knee documentation committee (IKDC)score,the passive knee regeneration test results of the affected side,the passive activity detection threshold,The rate of secondary arthroscopy and the synovial coverage of the patients examined.Results The Lysholm score and IKDC score of the observation group at 3 months and 6 months after operation were higher than those of the control group (P<0.05).The passive angle regeneration test of the affected knee joint at 3 months and 6 months after the observation group was performed.The results were lower than the control group (P<0.05);The observation threshold of passive motion of the affected knee joint in the observation group at 3 months and 6 months after operation was lower than that in the control group (P<0.05);There was no significant difference in the rate of secondary arthroscopy in the observation group at 20.00% compared with 25.00% in the control group (P>0.05);There was no significant difference in the distribution of synovial coverage between the two groups of patients (P>0.05).Conclusion Arthroscopic anterior cruciate ligament retention and stump reconstruction can treat tendon bone healing,In addition,the residual tendon cuff-like wrap wrapped tendon can increase the stability of the knee joint and improve the knee function and proprioception of patients in the early postoperative period,which has certain application value.
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