| ObjectiveAs an important static stable structure of human knee joint,cruciate ligament(CL)will not only affect the stability of knee joint,but also lead to cartilage degeneration and other diseases.Thus,the function of knee joint and the quality of life of patients have a serious impact.With the improvement of medical technology,the clinical treatment of cruciate ligament injury has received great attention and attention.Arthroscopic ligament reconstruction is the best surgical method,but there is still some controversy in graft selection.To this end,this paper compared and analyzed the autologous hamstring tendon ligament The clinical efficacy of(Autogenous hamstring tendons,ST/G)and artificial ligaments(ligament advanced reinforcement system,LARS)in cruciate ligament injury provides a basis for the clinical selection of safer and more effective grafts.MethodsFrom March 2018 to March 2019,94 patients with cross-human injury in orthopedic department of our hospital were selected as the observation objects.According to the results of preoperative imaging examination and the indication of ligament use,the doctor suggested and the patient’s will,the graft was selected by himself.According to the different grafts,The selected observation objects were divided into 57 cases in the artificial group and 37 cases in the autologous group.Among them,autologous hamstring tendon ligament reconstruction under arthroscopy and artificial ligament reconstruction under arthroscopy.During the observation of the clinical effect of the two groups,the excellent and good rate after treatment was treated with Lysholm score and 3,6,and 12 months after treatment were observed.at the same time,the two groups were compared with 3,6,and 12 months before and after treatment using the international knee scoring committee(International Knee Documentation Committee,IKDC)knee function scoring system.Furthermore,Lachman test was used to analyze the knee joint relaxation before treatment and 12 months after treatment.Not only that,but also the two groups of patients to resume daily activities and exercise time to record To analyze the recovery rate of autologous ligament and artificial ligament.In addition,the incidence of complications in the two groups was analyzed to analyze the safety of autologous and artificial ligaments.Results(1)The excellent and good rate compared to the manual group(70.27%),Excellent rate(89.47%)was significantly higher in the autologous group(x2=5.458,P<0.05).(2)After 3,6,12 months of treatment,The Lysholm、IKDC scores of both groups were higher than before treatment(P<0.05).Compared to the manual group,the Lysholm、IKDC score was higher in the autologous group after 3,6,12 months of treatment(P<0.05.(3)Lachman the test,The normal rate of knee joint relaxation after 12 months of treatment in autologous group was 82.47%compared with that in artificial group59.46%high(x2=6.125,P<0.05).(4)In terms of speed of rehabilitation,The recovery time of daily activities(26.58±5.16)d and exercise time(2.96±0.71)d were shorter than those of manual group(42.97±6.24)d、(97.38±11.82)d(t=8.657、6.015,P<0.05).(5)The incidence of complications compared to the artificial group(10.81%),The incidence of autogenous group(7.02%)was low,But there was no statistical difference(x2=0.125,P>0.05).ConclusionCompared with autologous ligament,artificial ligament is used in the surgical treatment of cruciate ligament injury,its clinical effect is more ideal and accurate,which can not only improve the excellent and good rate of treatment,but also shorten the speed of rehabilitation.At the same time,it is also high in security,so it has application and popularization value. |
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