Single- and double-incision double-bundle ACL reconstruction

被引:148
作者
Aglietti, Paolo [1 ]
Giron, Francesco [1 ]
Cuomo, Pierluigi [1 ]
Losco, Michele [1 ]
Mondanelli, Nicola [1 ]
机构
[1] Univ Florence, Orthopaed Clin 1, I-50139 Florence, Italy
关键词
D O I
10.1097/BLO.0b013e31802baaf4
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
Double-bundle anterior cruciate ligament (ACL) reconstruction is intended to replicate the anatomy and the function of the anteromedial and posterolateral bundles of the native ACL to improve patients' satisfaction and knee stability. We prospectively assigned 75 consecutive patients with an isolated ACL lesion to one of three sequential groups of 25 patients each. Group I received a single-bundle, single-incision transtibial ACL reconstruction. Groups II and III received a double-bundle reconstruction with a single-incision transtibial technique or a double-bundle, two-incision outside-in technique, respectively. We obtained subjective International Knee Documentation Committee and Knee Injury and Osteoarthritis Outcome Score evaluations and objective International Knee Documentation Committee scores and KT-1000 measurements preoperatively and at followup. All patients reached a minimum followup of 2 years. KT side-to-side difference in Groups I, II, and III were 2.4, 1.6 and 1.4 min, respectively. Group III had fewer patients with a positive pivot shift than Group I. The double-bundle double-incision outside-in ACL reconstruction resulted in improved anteroposterior stability and less residual pivot shift than single-incision single-bundle technique.
引用
收藏
页码:108 / 113
页数:6
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