Comparative analysis of preservation and non preservation of stumps in arthroscopic anterior cruciate ligament reconstruction
Objective To compare the practical effect of preservation and non preservation of stumps in arthroscopic anterior cruciate ligament reconstruction.Methods 62 patients with anterior cruciate ligament rupture were divided into a study group(n=31)and a control group(n=31)according to random number table method.Both groups underwent arthroscopic anterior cruciate ligament reconstruction,with the study group preserving the stump during surgery and the control group not preserving the stump during surgery.The Lysholm knee score,joint position sense(JPS)and postoperative complications were compared between the two groups.Results Before surgery,the Lysholm knee score and JPS values in the study group were(60.00±4.56)points and(4.95±1.25)°,and those in the control group were(60.12±5.74)points and(4.96±1.34)°.6 months after surgery,the Lysholm knee score and JPS values in the study group were(90.50±4.05)points and(2.89±0.68)°,and those in the control group were(84.85±4.40)points and(3.50±0.70)°.6 months after surgery,the Lysholm knee score and JPS value in both groups were improved compared with those before surgery;the Lysholm knee score in the study group was higher than that in the control group,and JPS value was lower than that in the control group(P<0.05).There was no difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion Preservation of stumps during arthroscopic anterior cruciate ligament reconstruction can effectively improve knee joint function of patients with anterior cruciate ligament rupture,promote proprioceptive recovery,and do not increase the risk of postoperative complications.It has clinical application value.
ArthroscopyRetain stumpsPreservation of stumpsAnterior cruciate ligament reconstruction