Reconstruction of the anterior cruciate ligament -: Single- versus double-bundle multistranded hamstring tendons

被引:234
作者
Adachi, N [1 ]
Ochi, M [1 ]
Uchio, Y [1 ]
Iwasa, J [1 ]
Kuriwaka, M [1 ]
Ito, Y [1 ]
机构
[1] Hiroshima Univ, Grad Sch Biomed Sci, Dept Orthopaed Surg, Hiroshima 7348551, Japan
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2004年 / 86B卷 / 04期
关键词
D O I
10.1302/0301-620X.86B4.14856
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A total of 108 patients with unilateral instability of the knee, associated with rupture of the anterior cruciate ligament, was prospectively randomised for arthroscopic single- or double-bundle reconstruction of the ligament using hamstring tendons. The same postoperative rehabilitation protocol was used for all. The patients were followed up for a mean of 32 months (24 to 36). We measured the anterior laxity and joint position sense at different angles of flexion of the knee to determine whether both bundles in the double-bundle reconstruction contributed to the stability of the joint and proprioception. No significant difference was found between the two groups with regard to anterior laxity measured by the KT-2000 arthrometer with the knee at 20degrees or 70degrees flexion nor with regard to proprioception. A notchplasty was required less often in the double-compared with the single-bundle reconstruction. We did not find any advantage in a double-bundle as opposed to a single-bundle reconstruction in terms of stability or proprioception.
引用
收藏
页码:515 / 520
页数:6
相关论文
共 17 条
[1]
Mechanoreceptors in the anterior cruciate ligament contribute to the joint position sense [J].
Adachi, N ;
Ochi, M ;
Uchio, Y ;
Iwasa, J ;
Ryoke, K ;
Kuriwaka, M .
ACTA ORTHOPAEDICA SCANDINAVICA, 2002, 73 (03) :330-334
[2]
FUNCTIONAL-ANATOMY OF THE ANTERIOR CRUCIATE LIGAMENT - FIBER BUNDLE ACTIONS RELATED TO LIGAMENT REPLACEMENTS AND INJURIES [J].
AMIS, AA ;
DAWKINS, GPC .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (02) :260-267
[3]
Evidence of reinnervation of free patellar tendon autograft used for anterior cruciate ligament reconstruction [J].
Barrack, RL ;
Lund, PJ ;
Munn, BG ;
Wink, C ;
Happel, L .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1997, 25 (02) :196-202
[4]
DENTI M, 1994, CLIN ORTHOP RELAT R, P29
[5]
ANATOMY OF THE ANTERIOR CRUCIATE LIGAMENT - A BLUEPRINT FOR REPAIR AND RECONSTRUCTION [J].
DODDS, JA ;
ARNOCZKY, SP .
ARTHROSCOPY, 1994, 10 (02) :132-139
[6]
NEUROHISTOLOGICAL FINDINGS AFTER EXPERIMENTAL ANTERIOR CRUCIATE LIGAMENT ALLOGRAFT TRANSPLANTATION [J].
GOERTZEN, M ;
GRUBER, J ;
DELLMANN, A ;
CLAHSEN, H ;
SCHULITZ, KP .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1992, 111 (02) :126-129
[7]
Single- versus bi-socket anterior cruciate ligament reconstruction using autogenous multiple-stranded hamstring tendons with EndoButton femoral fixation: A prospective study [J].
Hamada, M ;
Shino, K ;
Horibe, S ;
Mitsuoka, T ;
Miyama, T ;
Shiozaki, Y ;
Mae, T .
ARTHROSCOPY, 2001, 17 (08) :801-807
[8]
Proprioceptive improvement in knees with anterior cruciate ligament reconstruction [J].
Iwasa, J ;
Ochi, M ;
Adachi, N ;
Tobita, M ;
Katsube, K ;
Uchio, Y .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2000, (381) :168-176
[9]
Single- versus two-femoral socket anterior cruciate ligament reconstruction technique: Biomechanical analysis using a robotic simulator [J].
Mae, T ;
Shino, K ;
Miyama, T ;
Shinjo, H ;
Ochi, T ;
Yoshikawa, H ;
Fujie, H .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2001, 17 (07) :708-716
[10]
Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: Operative technique and preliminary results [J].
Muneta, T ;
Sekiya, I ;
Yagishita, K ;
Ogiuchi, T ;
Yamamoto, H ;
Shinomiya, K .
ARTHROSCOPY, 1999, 15 (06) :618-624