Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3195
Peer-review started: November 20, 2022
First decision: February 14, 2023
Revised: March 5, 2023
Accepted: April 4, 2023
Article in press: April 4, 2023
Published online: May 16, 2023
Processing time: 176 Days and 22.5 Hours
We compare clinical outcomes of knee anterior cruciate ligament (ACL) autograft reconstruction using all-inside quadruple semitendinosus (AIST) and traditional hamstring tendon (TBT) techniques.
To seek a good fixation method to reconstruct the ACL and reduce the failure rate.
To compare clinical outcomes of knee ACL autograft reconstruction using AIST and TBT techniques.
From January 2017 to October 2019, the clinical data of 80 patients with ACL reconstruction were retrospectively analyzed, including 67 males and 13 females. The patients had an average age of 24.3 ± 3.1 years (age range: 18-33 years). The AIST technique was used in 42 patients and the TBT technique was used in 38 patients. The time between operation and injury, operative duration, postoperative visual analogue scale (VAS) score and knee functional recovery were recorded and compared between the two groups. The International Knee Documentation Committee (IKDC) and Lysholm scoring system were used to comprehensively evaluate clinical efficacy.
Eighty patients were followed for 24-36 mo, with an average of follow-up duration of 27.5 ± 1.8 mo. There were no significant differences in the time between surgery and injury, operative duration, IKDC and Lysholm scores of the affected knee at the last follow-up evaluation between the two groups. There were significant differences in VAS scores 1 d, 3 d, 7 d, 2 wk and 1 mo after surgery (P < 0.05). There was no significant difference in VAS score at 3 mo, 6 mo and 1 year after operation.
The efficacy of the AIST ACL reconstruction technique was comparable to the TBT technique, but the postoperative pain was less with the AIST technique. Thus, the AIST technique is an ideal treatment choice for ACL reconstruction.
Arthroscopic reconstruction of the ACL is the main method of repair, the optimal ACL reconstruction technique has not been determined.