Saratov JOURNAL of Medical and Scientific Research

Comparative analysis of clinical outcomes of various methods of anterior cruciate ligament arthroplasty in knee joint in complete rupture of the ligament.

Year: 2018, volume 14 Issue: №2 Pages: 251-259
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shormanov A.M., Norkin A.l., Klimov S.S., Chibrikova Ju.A., Ulyanov V.Yu., Bakhteeva N.Kh.
Organization: Saratov State Medical University
Summary:

The aim is to carry out the analysis of outcomes of anterior cruciate ligament arthroplasty undertaken by various methods in patients with complete ligament rupture. Material and Methods. 104 patients diagnosed with complete rupture of anterior cruciate ligament (ACL) in knee joint who underwent knee joint arthroplasty fulfilled by various methods were the object of the present study. Clinical outcomes of the treatment were estimated by clinical signs of ACL failure, the degree of functional impairment of knee joint (IKDC 2000) and motor pathology assessed instrumentally. Results. Significantly better function restoration in knee joint occurring as early as 3 months postoperatively has been stated in the group of patients with two-bundle ACL arthroplasty by synthetic implant "DONA-M" on the basis of IKDC subjective knee indices. Negative Lachman test and Pivot shift test were demonstrated as early as 3 months postoperatively by all patients after two-bundle ACL arthroplasty with synthetic implant "DONA-M", reduced support asymmetry 6 months postoperatively was stated in all patient groups as well as run path and surface area in patients with single-bundle ACL arthroplasty by synthetic implant "DONA-M". Conclusion. The use of single- and double-bundle ACL arthroplasty with synthetic implant and ACL arthroplasty with autograft of semitendinosus (ST) and gracilis allows providing equally full-fledge restoration of injured knee joint, without statistically significant differences between the groups, in great majority of patients up to 12 months of follow-up period which is proved by normalized knee joint function, the absence of ACL failure and motor pathology signs estimated instrumentally. Key words: knee joint, anterior cruciate ligament (ACL), co

Bibliography:
1. AkhpashevAA, Novikova LV, Agzamov DS, et al. The isoki-netic evaluation of the knee joint function following the autoplastic correction of its anterior cross-shaped ligament. Voprosy kuror-tologii, fizioterapii i lechebnoi fizicheskoi kultury 2016; 3: 38-41
2. Kavalerskiy GM, Chenskiy AD, Sorokin AA, et al. Modern aspects of arthroscopic reconstruction of anterior cruciate ligament. The Department of Traumatology and Orthopedics 2014; 1: 10-4
3. Korolev AV. Complex restorative treatment of patients with meniscus and knee joint ligament injuries using arthroscopic methods: DSc diss. Moscow, 2004; 364 p.
4. Dzhumabekov SA, Kudaykulov МР, Dzhaylokeev ВМ, et al. Arthroscopic reconstruction of anterior cruciate ligament using various implants. In: Classics and innovations in traumatology and orthopedics: Coll. of Abstr. of All-Russian Research & Practice Conf. at 75th anniv. of Prof.A. P. Barabash. Saratov, 2016; p. 92-96
5. Lazishvili GD. Surgical treatment of ligament-capsular system of knee joint: DSc diss. Moscow, 2005; 334 p.
6. Kuznetsov IA. Options of surgical treatment in ACL injuries of knee joint: Guidance for doctors. St. Petersburg, 2000; 20 p.
7. Grudin YuV, Komkov AR, Rudaev VI. Arthroscopy of knee joint in acute period. In: VIII Congress of Traumatologists and Orthopedists of Russia: Coll. of Abstr. Samara, 2006; p. 163
8. Kotelnikov GP, Chernov АР, Izmalkov SN. Failure of knee joint. Samara: Samarskiy Dom Pechati, 2001; 229 p.
9. Zoykin VP, Pavlovichev SA. Anterior cruciate ligament injuries: treatment prospects (literature review). Annaly travmatologii i ortopedii 2001; 2: 24-9
10. Malanin DA, Demeshchenko MV, Krayushkin Al, et al. Area of the tibial attachment of the anterior cruciate ligament from the perspective of surgical anatomy. Journal of Volgograd State Medical University 2015; 1: 43-6
11. Bryanskaya Al, Sergeeva PP. Surgical treatment of injured anterior crucial ligament in adolescents. Russian Journal of Pediatric Surgery 2015; 19 (3): 13-4
12. Mironov SP, Mironova ZS. Surgical treatment of cruciate ligament injuries in knee joint. Vestnik travmatologii i ortopedii im. N.N. Priorova, 2001; 2: 51-5
13. Fedoruk GV, Goleva AV, Brovkin SS, et al. Modern technologies in ACL endoprosthesing. Zemskiy vrach 2012; 2: 21-3.

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