■我们旨在比较关节镜下超屈曲和图4提供的可视化是否对单束前交叉韧带重建术(ACLR)患者的股骨隧道放置有影响。
■我们回顾性评估了2016年至2019年因前交叉韧带(ACL)损伤而接受单频带ACLR的93例患者。80例患者符合纳入标准,至少随访12个月。我们将患者分为第1组(图4)和第2组(过度屈曲)。我们分析了人口统计,患者的放射学和功能结果。功能Lysholm评分,手术时间,放射学象限法(%近端-远端和%前-后)测量,隧道长度,轴向和冠状平面角,评估股骨内侧髁的医源性软骨损伤。
■两组共有7名患者在股骨内侧髁发生了医源性软骨损伤:1组患者(图4)和2组患者6(过度屈曲)。虽然在统计上微不足道,第1组医源性股骨内侧髁损伤较少。手术时间(p=0.046)和隧道长度(p=0.042)之间的统计学分析具有统计学意义。
■图4的位置提供了比超屈曲更好的外侧髁间凹口的可视化。在扩孔阶段,第1组股骨内侧髁损伤较少(图4).在ACLR中,它有很长的学习曲线,对于刚开始进行ACLR的外科医生来说,手术时间短被视为一项重要优势.我们认为它可以用作学习过程中过度弯曲的替代方法,并可能缩短学习曲线过程。
UNASSIGNED: We aimed to compare whether the visualisation provided by arthroscopic
hyperflexion and Figure 4 has an effect on femoral tunnel placement in patients undergoing single bundle Anterior Cruciate Ligament Reconstruction (ACLR).
UNASSIGNED: We retrospectively evaluated 93 patients who underwent single-band ACLR for Anterior Cruciate Ligament (ACL) injury between 2016 and 2019. Eighty patients met the inclusion criteria with a minimum follow-up of 12 months. We divided the patients into Group 1 (figure 4) and Group 2 (
hyperflexion). We analysed the demographic, radiological and functional outcomes of the patients. The functional Lysholm score, operative time, radiological Quadrant method (% proximal-distal and % anterior-posterior) measurements, tunnel lengths, axial and coronal plane angles, and iatrogenic chondral injury in the medial femoral condyle were evaluated.
UNASSIGNED: Iatrogenic chondral injury developed in the medial femoral condyle in a total of seven patients in both groups: one patient in group 1 (Figure 4) and six patients in group 2 (
Hyperflexion). Although statistically insignificant, iatrogenic medial femoral condyle damage was less in group 1. The statistical analysis between surgical operation time (p = 0.046) and tunnel lengths (p = 0.042) was significant.
UNASSIGNED: The position of figure 4 provides visualisation of lateral intercondylar notch better than
hyperflexion. In the reaming stage, the medial femoral condyle is less damaged in group 1 (Figure 4). In ACLR, which has a long learning curve, short surgery time is seen as an important advantage for surgeons who have just started doing ACLR. We think that it can be used as an alternative method to
hyperflexion in the learning process and maybe shorten the learning curve process.