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.	王鴻雁, 高志軍, 趙金忠. 關節鏡下自體肌腱和同種異體肌腱一期重建治療膝關節多發韌帶損傷. 中醫正骨, 2014, 26(4):301-304.
4.	史福東, 左金增, 劉仕杰, 等. 腓骨長肌腱重建前交叉韌帶結合一期錨釘修復嚴重內側副韌帶損傷的早期療效. 中國骨與關節雜志, 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, 楊衛兵, 等. 腓骨長肌腱移植后對足弓的影響. 中國矯形外科雜志, 2009, 17(15):1198-1199.
9.	郭志民, 鄭佳鵬, 林斌, 等. 便攜式下肢手術支架輔助關節鏡下腓骨長肌腱重建前交叉韌帶. 中國修復重建外科雜志, 2012, 26(6):679-682.
10.	左立新, 高雁卿, 楊衛兵. 正常人前后交叉韌帶與腓骨長肌腱的解剖學形態、力學特性的對比. 中醫正骨, 2007, 19(10):757-758.
11.	許永濤, 馬亮, 汪永剛, 等. 自體肌腱移植單束解剖重建前交叉韌帶的臨床研究. 中華實驗外科雜志, 2013, 30(12):2751.
12.	廖全明, 馬亮, 陳燕. 關節鏡下橫穿釘與Intrafix系統固定腘繩肌腱重建前交叉韌帶. 中華實驗外科雜志, 2011, 28(12):2233.
13.	李丁峰, 皇甫小橋, 趙金忠. 腓骨長肌腱前半部作為自體移植材料的臨床研究. 中華骨科雜志, 2014, 34(3):285-292.
14.	劉暢, 劉玉杰. 關節鏡下前交叉韌帶重建術中移植物固定方法的研究進展. 中華腔鏡外科雜志(電子版), 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.	史福東, 馮世慶, 左金增, 等. 關節鏡下自體腓骨長肌腱和腘繩肌腱重建前交叉韌帶的對比. 中華實驗外科雜志, 2014, 31(11):2531-2533.
20.	Kerimo?lu S, Ko?ucu P, Livao?lu 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. 王鴻雁, 高志軍, 趙金忠. 關節鏡下自體肌腱和同種異體肌腱一期重建治療膝關節多發韌帶損傷. 中醫正骨, 2014, 26(4):301-304.
4. 史福東, 左金增, 劉仕杰, 等. 腓骨長肌腱重建前交叉韌帶結合一期錨釘修復嚴重內側副韌帶損傷的早期療效. 中國骨與關節雜志, 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, 楊衛兵, 等. 腓骨長肌腱移植后對足弓的影響. 中國矯形外科雜志, 2009, 17(15):1198-1199.
9. 郭志民, 鄭佳鵬, 林斌, 等. 便攜式下肢手術支架輔助關節鏡下腓骨長肌腱重建前交叉韌帶. 中國修復重建外科雜志, 2012, 26(6):679-682.
10. 左立新, 高雁卿, 楊衛兵. 正常人前后交叉韌帶與腓骨長肌腱的解剖學形態、力學特性的對比. 中醫正骨, 2007, 19(10):757-758.
11. 許永濤, 馬亮, 汪永剛, 等. 自體肌腱移植單束解剖重建前交叉韌帶的臨床研究. 中華實驗外科雜志, 2013, 30(12):2751.
12. 廖全明, 馬亮, 陳燕. 關節鏡下橫穿釘與Intrafix系統固定腘繩肌腱重建前交叉韌帶. 中華實驗外科雜志, 2011, 28(12):2233.
13. 李丁峰, 皇甫小橋, 趙金忠. 腓骨長肌腱前半部作為自體移植材料的臨床研究. 中華骨科雜志, 2014, 34(3):285-292.
14. 劉暢, 劉玉杰. 關節鏡下前交叉韌帶重建術中移植物固定方法的研究進展. 中華腔鏡外科雜志(電子版), 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. 史福東, 馮世慶, 左金增, 等. 關節鏡下自體腓骨長肌腱和腘繩肌腱重建前交叉韌帶的對比. 中華實驗外科雜志, 2014, 31(11):2531-2533.
20. Kerimo?lu S, Ko?ucu P, Livao?lu 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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