■前交叉韧带(ACL)重建手术已被证明与移植物愈合过程密切相关,手术后可持续12个月。近年来,通过各种生物力学和临床研究,内部支撑韧带增强(IBLA)已被证明可以在术后早期阶段保护移植物并改善ACL重建的结果。我们介绍了使用半腱肌腱自体移植物用IBLA进行全内部关节镜前交叉韧带重建的一系列病例,目的是评估术后临床和患者报告的结局。
■共有37例患者接受关节镜下IBLA全内重建前交叉韧带,仅使用半腱肌腱自体移植,进行了评估,在患者报告的结果和临床评估方面,在术后3、6和12个月的随访期间。结果:最终随访时Lysholm膝关节的平均评分为94,03+-3,65,与基线水平的差异为34,59+-5,52。国际膝关节文献委员会(IKDC)分级评定了30例A级和7例B级。所有病人都恢复正常,未发现再破裂或其他严重并发症。
■早期随访患者报告的结果为37例患者提供了良好的效果,这些患者使用半腱肌腱自体移植进行了全内关节镜下IBLA前交叉韧带重建,并且没有发现移植失败或其他明显并发症。临床研究结果表明,在早期阶段改善了膝关节的完整性和运动范围,这可能会促进早期康复,然而,未来的长期比较研究是需要的。
■仅使用半腱肌自体移植物进行全内ACL重建的IBLA提供了良好的效果,未来需要进行长期的比较研究。
UNASSIGNED: Anterior Cruciate Ligament (ACL) reconstruction surgery has been proven to be closely related to the graft healing process, which can last up to 12 months after surgery. In recent years, through various biomechanical and clinical studies, Internal Brace Ligament Augmentation (IBLA) has been shown to protect the graft during these early postoperative stages and improve the outcome of ACL reconstruction. We present this
case series of all-inside arthroscopic anterior cruciate ligament reconstruction with IBLA using semitendinosus tendon autografts, with the goal of evaluating postoperative clinical and patient-reported outcomes.
UNASSIGNED: A total of 37 patients who underwent all-inside arthroscopic anterior cruciate ligament reconstruction with IBLA using only semitendinosus tendon autografts, were evaluated, in terms of patient reported outcome and clinical assessment, during the 3, 6 and 12 months post-operative follow-up. Results: The mean Lysholm Knee score at the final follow-up was 94,03 +- 3,65 with a difference of 34,59 +- 5,52 to the baseline level. International Knee Documentation Committee (IKDC) classification rated 30 cases of grade A and 7 cases of grade B. In terms of clinical tests and knee\'s range of motion, all patients have returned to normal, and no cases of re-rupture or other severe complications were found.
UNASSIGNED: Early follow-up patient reported outcomes have provided good to great results for the 37 patients who underwent all-inside arthroscopic anterior cruciate ligament reconstruction with IBLA using semitendinosus tendon autografts and no cases of graft failure or other notable complication has been discovered. Clinical findings suggest improved knee\'s integrity and range of movement during the early stages, which may promote early rehabilitation, however future long-term comparative studies are needed.
UNASSIGNED: IBLA with all-inside ACL reconstructions using only semitendinosus autograft has provided good to great results however, future long-term comparative studies are needed.