Comparison of the application of “4” font position arthroscopic medial approach and conventional lateral approach for the preparation of femoral bone canal in anterior cruciate ligament reconstruction
WANG Ling FENG Dehong GUO Yu HE Junshan DING Yujian ZHU Haoming LI Yaxin▲
Department of Orthopedics, Wuxi People’s Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Wuxi 214000, China
Abstract：Objective To investigate the application effect of “4” font position arthroscopic medial approach and conventional lateral approach to prepare femoral bone canal in anterior cruciate ligament (ACL) reconstruction. Methods A total of 84 patients with ACL injury admitted to Wuxi People’s Hospital Affiliated to Nanjing Medical University from March 2017 to July 2020 were selected and divided into study group and control group, according to the random number table method, with 42 cases in each group. The study group adopted the “4” font position arthroscopic medial approach, and the control group adopted the conventional lateral approach. The operative time, intraoperative blood loss, the length of the femoral canal were compared between the two groups. Lysholm score, International Knee Documentation Committee (IKDC) score, and knee stability (Lachman test and axial displacement test) were compared between the two groups before and one year after operation. The complications of the two groups were recorded. Results There were no statistically significant differences in operative time and intraoperative blood loss between the two groups (P ＞ 0.05). The length of the femoral canal in the study group was longer than that in the control group, the difference was statistically significant (P ＜ 0.05). One year after operation, Lysholm score and IKDC score of two groups were higher than those before operation, and the study group was higher than the control group, the differences were statistically significant (P ＜ 0.05). One year after operation, Lachman test and axial displacement test in both groups were better than those before operation, and the differences were statistically significant (P ＜ 0.05). There were no significant difference in the total incidence of complications between the two groups (P ＞ 0.05). Conclusion Compared with conventional lateral approach, “4” font position arthroscopic medial approach is more similar to anatomical reconstruction in ACL reconstruction, and can achieve better stability of postoperative knee function.
王凌 冯德宏 郭宇 何俊山 丁育健 朱浩明 李雅欣▲. “4”字体位关节镜内侧入路与常规外侧入路制备股骨骨道在前交叉韧带重建中的应用比较[J]. 中国医药导报, 2022, 19(21): 87-90.
WANG Ling FENG Dehong GUO Yu HE Junshan DING Yujian ZHU Haoming LI Yaxin▲. Comparison of the application of “4” font position arthroscopic medial approach and conventional lateral approach for the preparation of femoral bone canal in anterior cruciate ligament reconstruction. 中国医药导报, 2022, 19(21): 87-90.
京公网安备 11010502046598号