Clinical efficacy analysis of the all-inside technique for anterior cruciate ligament rupture using wire-tape internal stent combined with hamstring tendon graft
LUO Yufeng
LI Jin
Abstract：Objective To investigate whether incorporating FiberTape reinforcement within the graft of hamstring tendon in anterior cruciate ligament reconstruction using the all-inside technique can further enhance knee joint function,increase activity levels,reduce postoperative pain,and lower the graft failure rate.Methods The control group comprised 30 patients[21 men,9 women;age:(27.95±6.29)years]who underwent hamstring tendon graft for anterior cruciate ligament rupture using the all-inside technique without independent suture tape reinforcement.The internal stent group consisted of 30 patients[22 men,8 women;age:(27.05±7.20)years]who underwent the same procedure with independent suture tape reinforcement.Tegner score,Lysholm score,and International Knee Documentation Committee(IKDC)score were assessed for each patient before surgery and 6 months post-surgery.The Visual Analogue Scale(VAS)score was evaluated 3 d post-surgery in both groups,and graft failure rates were recorded.Pairing t-test and independent sample t-test were used for intra-group and inter-group comparisons,respectively.Results There was no statistical difference in the preoperative Tegner score,Lysholm score and IKDC score between the two groups(P＞0.05).The above scores in both groups increased significantly 6 months after surgery compared with preoperative scores(P＜0.001).There was no statistical difference in Tegner score 6 months after surgery between the two groups(P=0.228).The Lysholm score and IKDC score in the internal stent group 6 months after surgery were slightly higher than those in the control group.The VAS score and graft failure rate 3 d after surgery were slightly lower than those in the control group,but there was no statistical difference(P＞0.05).Conclusion Hamstring tendon graft with or without internal stent reinforcement has comparable results in treating patients with anterior cruciate ligament rupture,but the combined application of internal stent has shown certain potential advantages in improving patient's knee function and reducing patient's postoperative pain.
Keywords：all-inside techniqueinternal stentanterior cruciate ligamentclinical efficacy analysisknee joint functionhamstring tendon graft
Publication Date：2025-03-31
Online Publishing Date：2026-08-26(First online date of this platform, not the publication date of the document)
Pages：6( 366-371 )