A survey on prognosis of anterior cruciate ligament (ACL) reconstruction surgeries following fixed loop and adjustable loop methods.

International journal of physiology, pathophysiology and pharmacology Pub Date : 2020-12-15 eCollection Date: 2020-01-01
Pedram Yavari, Ghasem Mohammadsharifi, Behrooz Fadaei, Sina Talebi, Morteza Akbari
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Abstract

Background: Anterior cruciate ligament (ACL) rupture is an important disease in the younger population and especially professional athletes followed by trauma. There are different surgical methods for repairing ACL rupture each having their own prognosis rates. Here in this study, we investigated and compared results of ACL reconstruction after the fixed loop and adjustable loop surgical procedure in patients with ACL rupture.

Methods: In this study, we evaluated 60 patients with ACL rupture and divided them into two groups each containing 30 patients. Fixed loop and adjustable loop ACL repair were performed for each group. Data regarding knee society score, static laxity, and joint range of motion (ROM), patient's satisfaction and returning to normal daily activities were collected and compared between two groups after 6 months follow up using SPSS software.

Results: We showed that there was no significant difference between two groups of patients regarding investigated factors (P>0.05). No surgical site infections were also observed during the study.

Conclusion: Both fixed loop and adjustable loop grafting procedures for ACL repair indicate beneficial results and are effective in patients with ACL rupture. We suggest that orthopedic surgeons could use each of these methods according to their own experience and the patient's condition. There are no significant differences between these two methods in the prognosis of patients.

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前交叉韧带(ACL)重建手术采用固定环和可调环方法的预后分析。
背景:前交叉韧带(ACL)断裂是年轻人群尤其是职业运动员继发外伤的重要疾病。有不同的手术方法修复前交叉韧带破裂,每个有自己的预后率。在本研究中,我们研究并比较了ACL破裂患者在固定环和可调节环手术后ACL重建的结果。方法:本研究对60例前交叉韧带破裂患者进行评估,并将其分为两组,每组30例。各组分别行固定环和可调环ACL修复。收集两组患者膝关节社会评分、静态松弛度、关节活动度(ROM)、患者满意度及日常活动恢复情况,随访6个月后采用SPSS软件进行比较。结果:两组患者所调查因素比较,差异无统计学意义(P>0.05)。在研究期间也未观察到手术部位感染。结论:固定环和可调节环移植术对ACL破裂患者均有良好的修复效果。我们建议骨科医生可以根据自己的经验和患者的情况使用这些方法。两种方法对患者的预后无明显差异。
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