EFFECTIVENESS COMPARISON OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION BY LONG FIBULAR MUSCLE TENDON AND HAMSTRING TENDON_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 WUShichun , ZHENGYacai , YANKangning , LINWenxiang , XUWeihua , KANGJiaxiang

Department of Orthopaedics, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou Fujian, 363000, P. R. China;

Corresponding author：

WUShichun, Email: angelangel@163.com

Keywords：

Anterior cruciate ligament; Long fibular muscle tendon; Hamstring tendon; Reconstruction

DOI：

10.7507/1002-1892.20150293

Video：

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Objective To compare the effectiveness of anterior cruciate ligament (ACL) reconstruction between by long fibular muscle tendon and by hamstring tendon under arthroscopy after ACL rupture. Methods Between February 2010 and December 2012, 56 cases of ACL rupture underwent ACL reconstruction under arthroscopy. The long fibular muscle tendon was used in 26 cases (group A) and the hamstring tendon was used in 30 cases (group B). There was no significant difference in gender, age, side, disease duration, and preoperative Lachman test, Lysholm score, and the International Knee Documentation Committee (IKDC) score between 2 groups (P>0.05). The treatment after operation was identical in 2 groups. Results Primary healing of incision was obtained after operation in 2 groups. There was no major neurovascular injury and knee synovitis. There was no significant difference in operation time, hospitalization time, and postoperative 24-hour drainage volume between 2 groups (P>0.05). The patients were followed up 25-32 months (mean, 28 months) in group A, and 27-37 months (mean, 31 months) in group B. There was no related complication at donor site in 2 groups. MRI examination showed good ACL reconstruction. The Lysholm score and the IKDC score of group A at 6 months after operation were significantly better than those of group B (P<0.05), but no significant difference was found between 2 groups at 2 years after operation (P>0.05). There was no significant difference in Lachman score between 2 groups at 6 months and 2 years after operation (P>0.05). Conclusion The long fibular muscle tendon for arthroscopic reconstruction of ACL has much simpler operation, earlier knee function recovery, and better subjective satisfaction than the hamstring tendon.

Citation： WUShichun, ZHENGYacai, YANKangning, LINWenxiang, XUWeihua, KANGJiaxiang. EFFECTIVENESS COMPARISON OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION BY LONG FIBULAR MUSCLE TENDON AND HAMSTRING TENDON. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(11): 1358-1363. doi: 10.7507/1002-1892.20150293 Copy

1.	Fu FH, Karlsson J. A long journey to be anatomic. Knee Surg Sports Traumatol Arthrosc, 2010, 18(9):1151-1153.
2.	van Eck CF, Lesniak BP, Schreiber VM, et al. Anatomic single- and double-bundle anterior cruciate ligament reconstruction flowchart. Arthroscopy, 2010, 26(2):258-268.
3.	王鸿雁, 高志军, 赵金忠. 关节镜下自体肌腱和同种异体肌腱一期重建治疗膝关节多发韧带损伤. 中医正骨, 2014, 26(4):301-304.
4.	史福东, 左金增, 刘仕杰, 等. 腓骨长肌腱重建前交叉韧带结合一期锚钉修复严重内侧副韧带损伤的早期疗效. 中国骨与关节杂志, 2014, 3(1):38-44.
5.	Pinczewski L, Roe J, Salmon L. Why autologous hamstring tendon reconstruction should now be considered the gold standard for anterior cruciate ligament reconstruction in athletes. Br J Sports Med, 2009, 43(5):325-327.
6.	Zhao J, Huangfu X. The biomechanical and clinical application of using the anterior half of the peroneus longustendon as an autograft source. Am J Sports Med, 2012, 40(3):662-671.
7.	Yooh KH, Bae DK, Song SJ, et al. A prospective randomized study comparing arthroscopic single-bundle and double-bundle posterior cruciate ligament reconstructions preserving remnant fibers. Am J Sports Med, 2011, 39(3):474-480.
8.	左立新, 高雁卿, 杨卫兵, 等. 腓骨长肌腱移植后对足弓的影响. 中国矫形外科杂志, 2009, 17(15):1198-1199.
9.	郭志民, 郑佳鹏, 林斌, 等. 便携式下肢手术支架辅助关节镜下腓骨长肌腱重建前交叉韧带. 中国修复重建外科杂志, 2012, 26(6):679-682.
10.	左立新, 高雁卿, 杨卫兵. 正常人前后交叉韧带与腓骨长肌腱的解剖学形态、力学特性的对比. 中医正骨, 2007, 19(10):757-758.
11.	许永涛, 马亮, 汪永刚, 等. 自体肌腱移植单束解剖重建前交叉韧带的临床研究. 中华实验外科杂志, 2013, 30(12):2751.
12.	廖全明, 马亮, 陈燕. 关节镜下横穿钉与Intrafix系统固定腘绳肌腱重建前交叉韧带. 中华实验外科杂志, 2011, 28(12):2233.
13.	李丁峰, 皇甫小桥, 赵金忠. 腓骨长肌腱前半部作为自体移植材料的临床研究. 中华骨科杂志, 2014, 34(3):285-292.
14.	刘畅, 刘玉杰. 关节镜下前交叉韧带重建术中移植物固定方法的研究进展. 中华腔镜外科杂志(电子版), 2013, 6(1):54-58.
15.	Li S, Chen Y, Lin Z, et al. A systematic review of randomized controlled clinical trials comparing hamstring autografts versus bone-patellar tendon-bone autografts for the reconstruction of the anterior cruciate ligament. ArchOrthop Trauma Surg, 2012, 132(9):1287-1297.
16.	Kim JG, Yang SJ, Lee YS, et al. The effects of hamstring harvesting on outcomes in anterior cruciate ligament reconstructed patients:a comparative study between hamstring-harvested andunharvested patients. Arthroscopy, 2011, 27(9):1226-1234.
17.	McDermott ID. Graft options for ACL reconstructive surgery. Orthop Traum, 2013, 27:156-163.
18.	Wang CC, Lin L, Hsu CK, et al. Anatomic reconstruction of neglected Achilles tendon rupture with autogenous peroneal longus tendon by EndoButton fixatio. J Trauma, 2009, 67(5):1109-1112.
19.	史福东, 冯世庆, 左金增, 等. 关节镜下自体腓骨长肌腱和腘绳肌腱重建前交叉韧带的对比. 中华实验外科杂志, 2014, 31(11):2531-2533.
20.	Kerimoğlu S, Koşucu P, Livaoğlu M, et al. Magnetic resonance imagination of the peroneus longus tendon after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc, 2009, 17(1):35-39.
21.	Ng VY, Hothem E, Calloun J. Radiologic case study. Peroneus longus rupture. Orthopedics, 2010, 33(10):701, 779.
22.	Ziai P, Benca E, von Skrbensky G, et al. The role of the peroneal tendons in passive stabilisation of the ankle joint:an in vitro study. Knee Surg Sports Traumatol Arthrosc, 2013, 21(6):1404-1408.

1. Fu FH, Karlsson J. A long journey to be anatomic. Knee Surg Sports Traumatol Arthrosc, 2010, 18(9):1151-1153.
2. van Eck CF, Lesniak BP, Schreiber VM, et al. Anatomic single- and double-bundle anterior cruciate ligament reconstruction flowchart. Arthroscopy, 2010, 26(2):258-268.
3. 王鸿雁, 高志军, 赵金忠. 关节镜下自体肌腱和同种异体肌腱一期重建治疗膝关节多发韧带损伤. 中医正骨, 2014, 26(4):301-304.
4. 史福东, 左金增, 刘仕杰, 等. 腓骨长肌腱重建前交叉韧带结合一期锚钉修复严重内侧副韧带损伤的早期疗效. 中国骨与关节杂志, 2014, 3(1):38-44.
5. Pinczewski L, Roe J, Salmon L. Why autologous hamstring tendon reconstruction should now be considered the gold standard for anterior cruciate ligament reconstruction in athletes. Br J Sports Med, 2009, 43(5):325-327.
6. Zhao J, Huangfu X. The biomechanical and clinical application of using the anterior half of the peroneus longustendon as an autograft source. Am J Sports Med, 2012, 40(3):662-671.
7. Yooh KH, Bae DK, Song SJ, et al. A prospective randomized study comparing arthroscopic single-bundle and double-bundle posterior cruciate ligament reconstructions preserving remnant fibers. Am J Sports Med, 2011, 39(3):474-480.
8. 左立新, 高雁卿, 杨卫兵, 等. 腓骨长肌腱移植后对足弓的影响. 中国矫形外科杂志, 2009, 17(15):1198-1199.
9. 郭志民, 郑佳鹏, 林斌, 等. 便携式下肢手术支架辅助关节镜下腓骨长肌腱重建前交叉韧带. 中国修复重建外科杂志, 2012, 26(6):679-682.
10. 左立新, 高雁卿, 杨卫兵. 正常人前后交叉韧带与腓骨长肌腱的解剖学形态、力学特性的对比. 中医正骨, 2007, 19(10):757-758.
11. 许永涛, 马亮, 汪永刚, 等. 自体肌腱移植单束解剖重建前交叉韧带的临床研究. 中华实验外科杂志, 2013, 30(12):2751.
12. 廖全明, 马亮, 陈燕. 关节镜下横穿钉与Intrafix系统固定腘绳肌腱重建前交叉韧带. 中华实验外科杂志, 2011, 28(12):2233.
13. 李丁峰, 皇甫小桥, 赵金忠. 腓骨长肌腱前半部作为自体移植材料的临床研究. 中华骨科杂志, 2014, 34(3):285-292.
14. 刘畅, 刘玉杰. 关节镜下前交叉韧带重建术中移植物固定方法的研究进展. 中华腔镜外科杂志(电子版), 2013, 6(1):54-58.
15. Li S, Chen Y, Lin Z, et al. A systematic review of randomized controlled clinical trials comparing hamstring autografts versus bone-patellar tendon-bone autografts for the reconstruction of the anterior cruciate ligament. ArchOrthop Trauma Surg, 2012, 132(9):1287-1297.
16. Kim JG, Yang SJ, Lee YS, et al. The effects of hamstring harvesting on outcomes in anterior cruciate ligament reconstructed patients:a comparative study between hamstring-harvested andunharvested patients. Arthroscopy, 2011, 27(9):1226-1234.
17. McDermott ID. Graft options for ACL reconstructive surgery. Orthop Traum, 2013, 27:156-163.
18. Wang CC, Lin L, Hsu CK, et al. Anatomic reconstruction of neglected Achilles tendon rupture with autogenous peroneal longus tendon by EndoButton fixatio. J Trauma, 2009, 67(5):1109-1112.
19. 史福东, 冯世庆, 左金增, 等. 关节镜下自体腓骨长肌腱和腘绳肌腱重建前交叉韧带的对比. 中华实验外科杂志, 2014, 31(11):2531-2533.
20. Kerimoğlu S, Koşucu P, Livaoğlu M, et al. Magnetic resonance imagination of the peroneus longus tendon after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc, 2009, 17(1):35-39.
21. Ng VY, Hothem E, Calloun J. Radiologic case study. Peroneus longus rupture. Orthopedics, 2010, 33(10):701, 779.
22. Ziai P, Benca E, von Skrbensky G, et al. The role of the peroneal tendons in passive stabilisation of the ankle joint:an in vitro study. Knee Surg Sports Traumatol Arthrosc, 2013, 21(6):1404-1408.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS COMPARISON OF ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION BY LONG FIBULAR MUSCLE TENDON AND HAMSTRING TENDON

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