An BJ, Wang YT, Zhao Z, Wang MX, Xing GY. Comparative study of the clinical efficacy of all-inside and traditional techniques in anterior cruciate ligament reconstruction. World J Clin Cases 2023; 11(14): 3195-3203 [PMID: 37274047 DOI: 10.12998/wjcc.v11.i14.3195]
Corresponding Author of This Article
Geng-Yan Xing, FCCP, Dean, Director, Doctor, Professor, Surgeon, Department of Sports Medicine, The Fourth Medical Center of PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing 100000, China. xinggengyan123@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 16, 2023; 11(14): 3195-3203 Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3195
Comparative study of the clinical efficacy of all-inside and traditional techniques in anterior cruciate ligament reconstruction
Bai-Jing An, Yao-Ting Wang, Zhe Zhao, Ming-Xin Wang, Geng-Yan Xing
Bai-Jing An, Yao-Ting Wang, Zhe Zhao, Ming-Xin Wang, Geng-Yan Xing, Department of Sports Medicine, The Fourth Medical Center of PLA General Hospital, Beijing 100000, China
Author contributions: Xing GY designed the research study; Wang YT, Zhao Z and Wang MX performed the research; An BJ analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Third Medical Center of PLA General Hospital Institutional Review Board, No. KY2021-040.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrollment.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at xinggengyan123@163.com.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Geng-Yan Xing, FCCP, Dean, Director, Doctor, Professor, Surgeon, Department of Sports Medicine, The Fourth Medical Center of PLA General Hospital, No. 51 Fucheng Road, Haidian District, Beijing 100000, China. xinggengyan123@163.com
Received: November 20, 2022 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
ARTICLE HIGHLIGHTS
Research background
We compare clinical outcomes of knee anterior cruciate ligament (ACL) autograft reconstruction using all-inside quadruple semitendinosus (AIST) and traditional hamstring tendon (TBT) techniques.
Research motivation
To seek a good fixation method to reconstruct the ACL and reduce the failure rate.
Research objectives
To compare clinical outcomes of knee ACL autograft reconstruction using AIST and TBT techniques.
Research methods
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.
Research results
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.
Research conclusions
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.
Research perspectives
Arthroscopic reconstruction of the ACL is the main method of repair, the optimal ACL reconstruction technique has not been determined.
