采用腘绳肌腱与腓骨长肌腱自体移植物行关节镜下前交叉韧带重建术后功能结果的比较研究
简介
这项前瞻性随机对照研究纳入40例确诊ACL损伤患者，比较关节镜下ACL重建使用腘绳肌腱自体移植物（20例）与腓骨长肌腱自体移植物（20例）的功能结局和供区并发症。至术后6个月，两组IKDC和Tegner Lysholm评分均较术前显著改善，最终随访时两组间未见统计学显著差异（P>0.05）。腓骨长肌腱组供区并发症轻微，FADI评分至6个月恢复至基线；该比较基…
英文摘要
INTRODUCTION: Anterior cruciate ligament (ACL) injury is one of the most common ligamentous injuries of the knee, leading to instability, functional limitation, and early degenerative changes if untreated. Arthroscopic ACL reconstruction is the current gold standard. While hamstring tendon autograft is widely accepted, the peroneus longus tendon autograft has recently emerged as a promising alternative. AIM & OBJECTIVE: To compare the functional outcomes, graft characteristics, and donor site morbidity of arthroscopic ACL reconstruction using hamstring tendon autograft and peroneus longus tendon autograft. MATERIALS AND METHODS: A prospective randomized controlled study was conducted on 40 patients with confirmed ACL injuries. Patients were divided into two groups: Group A (Hamstring tendon autograft, n = 20) and Group B (Peroneus longus tendon autograft, n = 20). Functional outcomes were assessed using the international knee documentation committee (IKDC) score and Tegner Lysholm score. Donor site morbidity was evaluated using the foot and ankle disability index (FADI). Assessments were performed preoperatively and at post-operative day 10, 6 weeks, and 6 months. RESULTS: Both groups demonstrated significant improvement in functional scores at 6 months. There was no statistically significant difference between the two groups in IKDC and Lysholm scores at final follow-up (P > 0.05). Donor site morbidity in the peroneus longus group was minimal, with FADI scores returning to baseline by 6 months. CONCLUSION: Peroneus longus tendon autograft provides functional outcomes comparable to hamstring tendon autograft with minimal donor site morbidity and can be considered a reliable alternative graft for arthroscopic ACL reconstruction.