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Anterior cruciate ligament reconstruction using a double bundle hamstring autograft configuration in patients under 30 years

查看全文 作　　者：Christopher Reece [1]Lim;Tamalee [2]Henson;Jay [3]Ebert;Peter [4]Annear 高影响力作者 机构地区：[1]Department of Orthopaedics,Sir Charles Gairdner Hospital,Western Australia,Nedlands 6009,Australia;[2]Fiona Stanley Hospital,Western Australia,Murdoch 6150,Australia;[3]School of Human Sciences(Exercise and Sport Science),University of Western Australia,Western Australia,Crawley 6009,Australia;[4]Perth Orthopaedic and Sports Medicine Centre,Western Australia,West Perth 6005,Australia高影响力机构 出　　处：《World Journal of Orthopedics》索引2019年第10卷第12期,共8页高影响力期刊 摘　　要：BACKGROUND Anterior cruciate ligament reconstruction(ACLR)has a high incidence of re-tear in younger patients.Despite comparable functional outcomes,the incidence of retear using single and double bundle ACLR methods has not been well reported.AIM To hypothesize that double bundle hamstring ACLR has a lower graft rupture rate compared with single bundle hamstring ACLR grafts in young patients.METHODS One hundred and twelve patients<30 years of age at the time of primary double bundle ACLR were eligible for study participation.91(81.3%)could be contacted,with a mean age of 20.4 years(range 13-29)and mean post-operative follow-up time of 59 mo(range 25-107).Telephone questionnaires evaluated the incidence(and timing)of subsequent re-tear and contralateral ACL tear,further surgeries,incidence and time to return to sport,and patient satisfaction.RESULTS Of the 91 patients,there were 6(6.6%,95%CI:1.4-11.7)ACL graft re-ruptures,with a mean time to re-rupture of 28 mo(range 12-84).Fourteen patients(15.4%)experienced a contralateral ACL rupture and 14 patients(15.4%)required further surgery to their ipsilateral knee.fifty patients(54.9%)returned to pre-injury level of sport.Of those<20 years(n=45),4 patients(8.9%,95%CI:0.4-17.3)experienced a re-rupture,with mean time to re-injury 15 mo(range 12-24).Comparative analysis with existing literature and revealed a non-significant Chisquared statistic of 2.348(P=0.125).CONCLUSION A trend existed toward lower graft rupture rates in young patients undergoing double bundle ACLR utilizing a hamstring autograft,compared with rates reported after single bundle ACLR. 关 键 词：ANTERIOR CRUCIATE LIGAMENT reconstruction Re-rupture Double BUNDLE Young KNEE function Clinical outcomes
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