Comparative Analysis of the Effects of Two Repair Methods in Patients with Anterior Cruciate Ligament Injury and Medial Collateral Ligament Rupture
PANG Long
WANG Xuechen
LI Dingding
WANG Shuo
Abstract：Objective To analyze the effect of two repair methods on anterior cruciate ligament(ACL)injury with medial collateral ligament(MCL)rupture.Methods A total of 88 patients with ACL injury and MCL rupture admitted from April 2021 to November 2022 were divided into observation group(n=44)and control group(n=44)by random number ta-ble method.The control group underwent reconstruction using hamstring tendon and attachment of MCL,and the observation group underwent reconstruction using peroneal long tendon and attachment of MCL.The surgical status,recovery process,complications,knee function[International Knee Documentation Committee Knee Form(IKDC),Tegner score,Lysholm score],knee stability,graft magnetic resonance imaging(MRI),ankle function[American Orthopaedic Foot and Ankle Soci-ety(AOFAS)ankle-foot score],foot function,gait,and complications were compared between the two groups.Results The tendon diameter was larger and tendon length was greater in the observation group than in the control group(P＜0.01).At 6 months after operation,Lysholm score,IKDC score and Tegner score in observation group were higher than those in control group(P＜0.05).At 6 and 12 months after operation,there were no significant differences between the two groups in Lach-man test,axial shift test,medial space opening degree of stress position and AOFAS ankle-foot score(P＞0.05).At 12 months after operation,there were no significant differences in MRI findings,foot function,gait and complication rate between the two groups(P＞0.05).Conclusion Peroneal longus tendon and hamstring tendon combined with MCL attachment re-construction have similar effects on improving complications and ankle function in ACL patients with MCL rupture,but the for-mer can improve tendon reconstruction and promote recovery of knee function.
Keywords：Medial collateral ligamentAnterior cruciate ligamentKnee injuriesPeroneal longus tendonHam-string tendonKnee joint functionStabilityComplications
Publication Date：2024-10-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 31-37 )