• 1. Department of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China;
  • 2. Department of Orthopedics, the First People’s Hospital of Yibin, Yibin Sichuan, 644000, P.R.China;
  • 3. Department of Orthopedics, People’s Hospital of Linshui, Linshui Sichuan, 638500, P.R.China;
YANG Hongbin, Email: yanghongbin1234@163.com
Export PDF Favorites Scan Get Citation

Objective To compare the effectiveness of arthroscopic one-stage reconstruction of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) with LARS artificial ligament and autogenous hamstring tendon, respectively.Methods A retrospective study was performed on 23 patients with ACL and PCL injuries, who were treated with one-stage reconstruction, between June 2013 and June 2017. The ACL and PCL were reconstructed with LARS artificial ligament in 11 patients (artificial ligament group) and autogenous hamstring tendon in 12 patients (autogenous tendon group). There was no significant difference in gender, age, side of injury, cause of injury, time from injury to operation, and preoperative Lysholm score and International Knee Documentation Committee (IKDC) score between the two groups (P>0.05). The operation time, the time of recovery of daily activities and preoperative exercise level, the occurrence of surgical-related complications, Lysholm score, IKDC score, and the results of knee stability assessment were recorded and compared between the two groups.Results The operation time and the time of recovery of daily activities and preoperative exercise level were significantly shorter in artificial ligament group than in autogenous tendon group (P<0.05). All incisions healed primarily. In autogenous tendon group, the common fibular nerve injury occurred in 1 case and intermuscular vein thrombosis occurred in 1 case. No complication occurred in the remaining patients of the two groups. All the patients were followed up 24-54 months (mean, 36.4 months). At last follow-up, the Lysholm score and IKDC score of the two groups were significantly higher than preoperative scores (P<0.05). There was no significant difference between the two groups (P>0.05). The varus and valgus stress tests of the two groups were negative. There was no significant difference in anterior drawer test, posterior drawer test, and Lachman test between the two groups (P>0.05).Conclusion The effectiveness of arthroscopic one-stage reconstruction of ACL and PCL with LARS artificial ligament or autogenous hamstring tendon was similar. The knee function and stability recover well. But the patients with LARS artificial ligament reconstruction can resume daily activities and return to exercise earlier.

Citation: LI Yu, ZHANG Hao, XIAO Shizhuo, ZHENG Qiu, ZENG Yalan, YANG Hongbin. Effectiveness comparison of LARS artificial ligament and autogenous hamstring tendon in one-stage reconstruction of anterior and posterior cruciate ligaments. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(8): 1018-1024. doi: 10.7507/1002-1892.201908051 Copy

  • Previous Article

    Application of “diamond concept” in treatment of femoral shaft fractures nonunion after intramedullary fixation
  • Next Article

    Optimized preparation method of leukocytes-rich platelet-rich plasma by varying conditions during centrifugation