局解手术学杂志2025，Vol.34Issue(7)：559-563,5.DOI:10.11659/jjssx.07E024086
膝关节前交叉韧带全内技术重建的临床疗效观察
Observation of the clinical efficacy of all-inside technique for the reconstruction of anterior cruciate ligament of the knee joint
摘要
Abstract
Objective To compare the efficacy of all-inside technique versus traditional technique for the reconstruction of anterior cruciate ligament(ACL)of the knee joint.Methods A total of 65 patients with ACL rupture of the knee joint in Suqian Zhongwu Hospital from December 2019 to December 2023 were included and divided into the two groups according to random number table method.Thirty-two patients in the traditional group were given arthroscopic traditional technique for reconstruction,and 33 patients in the all-inside group were given arthroscopic all-inside technique for reconstruction.The positive rates of Lachman's sign and anterior drawer test,pain visual analogue scale(VAS)score,International Knee Literature Committee(IKDC)score,range of motion of knee joint,circumference of knee joint,and surgical indicators were compared between the two groups.Results The positive rates of Lachman's sign and anterior drawer test in the all-inside group were both lower than those in the traditional group(P<0.05).The all-inside group showed lower VAS scores(P<0.05)and higher IKDC score than those in the traditional group 3 and 6 months after surgery(P<0.05).The all-inside group demonstrated greater range of motion of the knee joint(P<0.05)and shorter circumference of the knee joint than those in the traditional group 3 and 6 months after surgery(P<0.05).The graft diameter of patients in the all-inside group was shorter than that in the traditional group(P<0.05),while its operation time and intraoperative blood loss were not significantly different from the traditional group(P>0.05).Conclusion The intraoperative blood loss and operation time of arthroscopic all-inside technique for reconstruction of ACL rupture are comparable to those of traditional technique.However,the all-inside technique has shorter graft diameter,which can effectively alleviate postoperative pain of patients,improve knee joint function,with significant therapeutic effect.关键词
前交叉韧带断裂/关节镜/全内技术/传统技术Key words
anterior cruciate ligament fracture/arthroscopy/all-inside technique/traditional technique分类
医药卫生引用本文复制引用
张凯,高绪仁..膝关节前交叉韧带全内技术重建的临床疗效观察[J].局解手术学杂志,2025,34(7):559-563,5.基金项目
江苏省优势学科建设工程项目(YSHL1909-121) （YSHL1909-121）
