单骨道单、双束前交叉韧带重建治疗前交叉韧带断裂患者的疗效比较

Comparison of efficacy of single-tunnel single-bundle and double-bundle reconstruction in patients with anterior cruciate ligament reconstruction

目的比较单骨道单、双束前交叉韧带重建治疗前交叉韧带断裂患者的疗效。方法选取前交叉韧带断裂患者64例,随机分为双束组32例和单束组32例。双束组进行单骨道双束手术,单束组进行单骨道单束手术。术前及术后12个月评价2组患者的IKDC、Tegner、Lysholm和KT-2000评分。结果 2组患者性别、年龄和受伤侧别及时间的差异无统计学意义(P>0.05)。2组患者的术后IKDC、Tegner和Lysholm评分均高于术前,KT-2000评分均低于术前,差异有统计学意义(P<0.05)。2组术前、术后的IKDC、Tegner、Lysholm和KT-2000评分的差异无统计学意义(P>0.05)。结论单骨道单、双束前交叉韧带重建的主观功能评分与客观稳定性评分无显著差异,但单骨道双束前交叉韧带重建术手术方法简单,固定牢固,可以有效恢复膝关节前向稳定性。

Objective To compare the efficacy of single-tunnel single-bundle and double- bundle reconstruction in patients with anterior cruciate ligament reconstruction. Methods A total of 64 patients with anterior crueiate ligament rupture in our hospital were randomly divided into single- bundle group with 32 cases and double-bundle group with 32 cases, given single-tunnel single-bundle anterior erueiate ligament reconstruction, and single-tunnel double-bundle anterior cruciate ligament reconstructions. The IKDC, Tegner, Lysholm and KT-2000 scores were compared in two groups preoperation and at 12 months after operation. Results Thee were no significant difference in sex, age, injured site and injured time in the two groups （P 〉 0.05 ）. The IKDC, Tegner and Lysholm scores after operation were higher than operation before, and the KT-2000 scores was lower than operation before in two groups, and the differences were statistically significant（ P 〈0.05 ）. But there were no significant differences in IKDC, Tegner, Lysholm and KT-2000 scores between two groups before and after treatment（P 〉 0.05 ）. Conclusion The subjective and objective function scores of two groups showed no significant difference. But single-tunnel double-bundle for anterior cruciate ligament reconstruction is characterized by simplicity, firmly fixation and effectively restoration of knee stability.