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Significance Of Preserving Anterior Cruciate Ligament Stump For The Stability Of Knee Joint

Posted on:2020-09-23Degree:MasterType:Thesis
Country:ChinaCandidate:X Y FengFull Text:PDF
GTID:2404330596496272Subject:Bone science
Abstract/Summary:PDF Full Text Request
Objective: To investigate the effect of arthroscopic anterior cruciate ligament reconstruction on the recovery of proprioception in patients with anterior cruciate ligament injury by preserving ligament stump.Methods: A retrospective analysis of 80 patients with anterior cruciate ligament injury admitted at the Department of Sports Medicine in Shengjing Hospital of China Medical University between January 2016 and March 2017 was performed.All patients underwent arthroscopic reconstruction of anterior cruciate ligament with autologous parasagittal tendon as a graft,including 40 cases of preserving-remnant,and 40 cases of removing-remnant.All patients were followed up for more than 12 months to evaluate the knee joint function and recovery of proprioception.Results:(1)The postoperative Lysholm and International Knee Documentation Committee scores were significantly improved in both groups,and the postoperative forward movement of the tibia,threshold to detection of passive activity,passive angle reproduction were all significantly reduced compared with the baseline(P < 0.05).(2)In the preserving-remnant group,the Lysholm and International Knee Documentation Committee scores at postoperative 3 months were significantly higher than those in the removing-remnant group,and threshold to detection of passive activity,and passive angle reproduction were lower than those in the removing-remnant group(P < 0.05).(3)There were no significant differences in the forward movement of the tibia by Kneelax system and plantar pressure at 3 and 12 months postoperatively between two groups(P >0.05).Conclusion: Preserving-remnant in arthroscopic anterior cruciate ligament reconstruction can improve the early recovery of proprioception,and obtain satisfactory clinical efficacy.
Keywords/Search Tags:Anterior cruciate ligament reconstruction, Remnant preservation, the stability of knee joint, Proprioception
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