两种股骨隧道固定方式对前交叉韧带重建的疗效分析

Analysis of the Efficacy of Two Femoral Tunnel Fixation Modalities for Anterior Cruciate Ligament Reconstruction

摘要: 目的：比较两种股骨隧道固定方式对前交叉韧带重建的疗效分析。方法：本研究回顾性分析2017年6月至2020年6月在本院就我院开展的两种ACLR固定方式，比较在术前、术后6月、术后12月VAS评分评估患肢疼痛分级，采用Kujala评分及Lysholm评分评估患者术前、术后6月、术后12月膝关节功能。通过膝关节屈膝角度评估膝关节恢复角度。结果：在手术后，两组病人的Kujala和Lysholm评分都显著超过了手术前，他们的膝关节疼痛和活动受限得到了显著改善。观察组和对照组在手术前后的6月份进行了统计学分析，结果显示Kujala和Lysholm评分的差异并无统计学意义(P > 0.05)。然而，在手术后的12月份，Kujala和Lysholm评分的差异在统计学上是有意义的(P < 0.05)。在手术前后，观察组和对照组的膝关节活动度在6月和12月进行了统计学分析，但是VAS评分的差异并没有统计学上的显著性(P > 0.05)。在手术前后，观察组和对照组的膝关节活动度进行了统计学分析，但是差异并没有统计学上的显著性(P > 0.05)。结论：综上所述，关节镜下采用Endobutton钢板固定和Rigidfix系统修复重建ACL效果均确切，Rigidfix在术后12月其效果更显著。

Abstract: Objective: To compare the efficacy analysis of two femoral tunnel fixation modalities for anterior cruciate ligament reconstruction. Methods: This study retrospectively analysed from June 2017 to June 2020 in our hospital on the two ACLR fixation modalities carried out to compare the preoperative, 6-month postoperative, and 12-month postoperative VAS scores to assess the to assess the pain grading of the affected limb, and the Kujala score and Lysholm score were used to assess the knee function of the patients preoperatively, 6 months postoperatively, and 12 months postoperatively. Knee function was assessed by knee flexion angle was used to assess the knee joint recovery angle. Results: After surgery, the Kujala and Lysholm scores of the patients in both groups significantly exceeded before surgery, and their knee pain and limitation of motion improved significantly. The observation and control groups were statistically analysed before and after the surgery in the month of June, and the results showed that the difference in Kujala and Lysholm scores was not statistically significant (P > 0.05). However, at 12 months after surgery month, the difference between Kujala and Lysholm scores was statistically significant (P < 0.05). Before and after surgery, the observation and control groups’ knee mobility were statistically analysed in June and December, but the difference in VAS scores was not statistically significant (P > 0.05). Knee mobility was statistically analysed in the observation and control groups before and after surgery, but the difference was not statistically significant (P > 0.05). Conclusion: In conclusion, the results of arthroscopic repair and reconstruction of ACL using Endobutton plate fixation and Rigidfix system were both accurate. The effect of Rigidfix was more significant at 12 months postoperatively.