Clinical Affect Of Different Operative Timing On Arthroscopic Anterior Cruciate Ligament Reconstruction

Objective To compare the clinical efficacy of arthroscopic anterior cruciate ligament reconstruction with different surgicalMethods The clinical data of 45 patients with anterior cruciate ligament injury admitted to our hospital from January 2018 to December 2020 were collected and collated.According to the time from injury to operation,all patients were divided into early group（<4 weeks）and late group（>4 weeks）,with 25 cases in the early group and 20 cases in the late group.Lysholm score,IKDC score,visual analogue scale（VAS）score,ROM of knee flexion and extension,and thigh circumference difference of the healthy side were compared before and 6 months after operation.Meanwhile,the incidence of postoperative complications was compared between the two groups.Results There was no statistical significance in Lysholm and IKDC knee function score,VAS score and knee ROM between the two groups before surgery（P>0.05）.The above scores of the two groups after operation were better than those before operation,the difference was statistically significant（P<0.05）.Lysholm and IKDC knee function scores and knee ROM in the early postoperative group were higher than those in the late postoperative group,with statistical significance（P<0.05）.VAS score of the late postoperative group was better than that of the early postoperative group,the difference was statistically significant（P<0.05）.The difference of thigh circumference between the two groups after operation was lower than that before operation,with statistical significance（P<0.05）.Preoperative and postoperative thigh circumference difference in the early group was smaller than that in the late group,with statistical significance（P<0.05）.The incidence of postoperative complications in the early group was lower than that in the late group,with statistical significance（P<0.05）.Conclusion Compared with delayed surgery,early arthroscopic anterior cruciate ligament reconstruction is more beneficial to postoperative stability of knee joint and recovery of lower limb function,and achieve more satisfactory clinical results.