关节镜下半腱肌和半腱肌-股薄肌肌腱 单束重建前交叉韧带的临床疗效观察

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Abstract Objective To investigate the clinical efficacy of single bundle reconstruction of semitendinosus(ST) and semitendinosusgracilis (STG) for anterior cruciate ligament (ACL).Methods 82 patients with ACL injuries treated from January 2020 to January 2021 in the Department of Sports Medicine of the First Affiliated Hospital of Xinjiang Medical University were retrospectively analyzed，and all 82 patients underwent arthroscopic autologous hamstring ACL single-bundle reconstruction.The single ST tendon reconstruction was used in the ST group.This group had 41 cases，and 34 patients were males and 7 were females.The STG group had 41 cases，including 32 males and 9 females，and the patients underwent reconstruction using STG.Clinical evaluation ubjective criteria included Lysholm score，international knee documentation committee(IKDC) subjective score，reconstructed anterior cruciate ligament rerupture rate，functional assessment tests，Lachman test，pivot shift test，one-legged hop test，tibial internal rotation angle，standing flexion angle；and knee flexion muscle strength assessment.Results Of the 82 patients，no re-rupture of the reconstructed anterior cruciate ligament occurred during follow-up after 1 year.There was no statistical significance in Lysholm score and IKDC score between the two groups (P>0.05).There were no statistical significance in postoperative Lachman test，pivot shift test，one-legged hop test，and tibial internal rotation angle test between the two groups (P>0.05).Standing flexion angles of affected side were (119.73±3.91) ° in ST group，(117.17±2.58) ° in STG group and the difference had statistical significance (P<0.05).There was no statistical significance in flexion muscle strength at 60 ° of knee flexion between the two groups (178.34±10.56) N in ST group and (177.85±7.57) N in STG group (P>0.05).The flexion muscle strength of the affected knee at 90 °and 110 ° flexion was (187.41±8.83) N and (179.12±9.94) N in the ST group and (173.49±8.12) N and (170.29±7.97) N in the STG group respectively，and the differences were statistically significant (P<0.05).Conclusion In patients with ACL reconstruction，semitendinosus tendon grafts have better recovery of knee function than semitendinosus-gracilis tendon grafts，so semitendinosus tendon grafts are more suitable for people with higher deep flexion muscle strength requirements.

Key words： anterior cruciate ligament arthroscopy semitendinosus gracilis knee function

Corresponding Authors: Zhang Keyuan

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	Han Deshan
	Zhang Keyuan
	Zhou Xiaotao

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Han Deshan,Zhang Keyuan,Zhou Xiaotao. Observation of Clinical Efficacy of Arthroscopic Semitendinosus and Semitendinosus Gracilis Single-Bundle Reconstruction of Anterior Cruciate Ligament[J]. sygkzz, 2023, 29(4): 320-.

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