The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Arthroscopic reconstruction of anterior cruciate ligament with autologous quadrupled hamstring tendon composited with cannulated LARS artificial ligament

Author : FU Yang- pan, HUANG Chang-ming*, FAN Hua- qiang, ZHANG Shaozhan, ZHANG Yun-kuan, LIU Zhen-huang, HU Xi-chun.     
Working unit : Department of Orthopedics, The Affiliated Chenggong Hospital of Xiamen University, Xiamen 361003, China
Page : 2278-2282.
Key words : arthroscopy, anterior cruciate ligament injury, cannulatedLARS artificial ligament, hamstring tendon.
Abstract: [Objective] To introduce the surgical technique of arthroscopic reconstruction of anterior cruciate ligament with autologous quadrupled hamstring tendon composited with cannulated LARS artificial ligament and its primary clinical outcomes. [Methods] Between April 2018 and January 2019, 18 patients, including 11males and 7 females with an average age of (34.30±3.80) years, were surgically treated by arthroscopic reconstruction with autologous quadrupled hamstring tendon composited with cannulated LARS artificial ligament for anterior cruciate ligament tear in our department. After the semitendinosus and gracilis tendons were harvested, the tendons were trimmed, folded into 4 strands and weave sutured. After that, the tendon graft was inserted into a cannulated LARS ligament, and sutured to form a composited graft of 8~9 mm in diameters. Subsequently, the torn anterior cruciate ligament was replaced by arthroscopic single bundle reconstruction at anatomic position with the composited graft. The VAS score, Lachmantest, Lysholm and IKDC scores were applied for evaluation of the clinical consequences. [Results] All patients were followed up for (4.20±1.90) months on average. The VAS, Lysholm and IKDC scores at the latest follow-up after operation significantly improved compared with those before operation (P<0.05) . The clinical outcomeswere graded as excellent in 16 and good in 2 patients. [Conclusion] This autologous quadrupled hamstring tendon composited with cannulated LARS artificial ligament takes benefits of both autologous and artificial graft for anterior cruciate ligament reconstruction, and more greatly facilitates the enhanced postoperative rehabilitation to allow early return to daily life and sports.
summary:
Arthroscopic reconstruction of anterior cruciate ligament with autologous quadrupled hamstring tendon composited with cannulated LARS artificial ligament   
FU Yang- pan, HUANG Chang-ming*, FAN Hua- qiang, ZHANG Shaozhan, ZHANG Yun-kuan, LIU Zhen-huang, HU Xi-chun.
Orthop J Chin, 27(24):   2278-2282.