Anatomic double-bundle anterior cruciate ligament reconstruction  

作　　者：Dai Xue-song 

机构地区：[1]Department of Orthopedics, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China

出　　处：《Chinese Journal of Traumatology》2012年第3期175-179,共5页中华创伤杂志（英文版）

摘　　要：Objective： To retrospectively evaluate the early results of anatomic double-bundle anterior cruci- ate ligament （ACL） reconstruction and compare with the results of native ACL of the contralateral knee. Methods： The results of a consecutive series of 118 patients receiving arthroscopic ACL reconstruction were evaluated. Eight patients were lost to the latest follow-up, leaving a total of 110 patients available for study within at least 3 years＇ clinical follow-up. Among them, 63 patients underwent postoperative MRI and CT scan, as well as clini- cal evaluation. Results： After reconstruction, the knees were stable and pain-free. Mean postoperative Lysholm score was 95.54 in 110 patients after 3 years. CT and MRI assessment showed that the reconstruction centered in the femoral footprint of ACL （n=63）. The sagittal ACL angle in the reconstructed ACL （52.16°±2.45°） was much close to that in the contralat- eral intact ACL （51.31 °±2.18°, P〉0.05）. By ACL-Blumensaat line angle analysis, there was no difference between doublebundle reconstructed knees and their contralateral normal knees （4.67°±0.43° vs. 4.62°±＊0.60°, P〉0.05）. Conclusion： Anatomic double-bundle ACL reconstruction can place grafts more precisely in the anatomic foot- print of the ACL and better restore knee kinematics.

关 键 词：Anterior cruciate ligament Outcome assessment Arthroscopic surgery 

分 类 号：R[医药卫生]