保留残端长度对自体腘绳肌腱单束重建前交叉韧带的效果影响

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Abstract Objective To compare clinical outcomes between groups of patients who underwent ACL reconstruction with single hamstring tendonautograft divided according to lengthof ACL remnant and investigate effect of remnant preservation on outcomes of ACL reconstruction.Methods A total of 100 patients who underwent ACL reconstruction with single hamstring tendonautograft were retrospectively reviewedin the department of orthopedics of our hospital from January 2016 to February 2018.Patients were divided into three groups according to proportion of length of remnant tissue of injured ACL covering part of reconstructed ACL to total length of reconstructed ACL.Group A included 40 patients with no remnant，group B consisted of 35 patients with remnant of <50%，group C consisted of 25 patients with remnant of >50%.The results of knee function score，stability test and joint movement ability test (including return to activity and near-return to activity)were investigated and compared among the three groups at the last follow-up.Results Patients in the three groups follow-up duration were 25~47 months，with an average duration of (34.50±10.42) months.There was no statistically significant difference between three groups regarding preoperative IKDC subjective score，Lysholm score and Tegner score.At the last follow-up，the above scores in the three groups were all higher than that before surgery，and there was no statistical difference between the three groups in Lysholm knee score，while the subjective IKDC score (including physical activity and function) and Tegner score in group C were significantly better than those in group A and B.At the last follow-up，the results of Lachman，ADT and Pivot shift test in the three groups were all higher than those before the operation，and the paired comparison of results of Lachman，ADT and axial shift test among the three groups showed no statistical significance.At the last follow-up，there were no statistically significant differences in knee range of motion，hop test and near-return to activity among the three groups.However，patients of group C had significantly better outcomes inreturn to activity than those ingroup A and B.There was no significant difference in postoperativecomplications between the three groups.Results ACL reconstructionusing single hamstring tendonautograftwith remnant preservation did not provide better anterior stability compared with conventional ACL reconstruction.However，preservation of remnant of >50% led to more improved activity-related clinical outcomes than no remnant preservation.In cases with substantial remnant tissue of injured ACL remaining，reconstruction of ACL while preserving as much remnant tissue as possible is recommended.

Key words： arthroscopy anterior cruciate ligament autologous hamstring tendon remnant preservation

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	Chen Min
	Lin Jia Jun
	Liu Wenge

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Chen Min,Lin Jia Jun,Liu Wenge. Anterior Cruciate Ligament Reconstruction Using Single hamstring tendonAutograft with Remnant Preservation：Comparison of Outcomes According to the Lengthof Remnant Tissue[J]. sygkzz, 2020, 26(8): 693-699.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2020/V26/I8/693

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