| Objective:To compare the clinical effect of arthroscopic anatomical positioning method and I.D.E.A.L positioning method in single-bundle anterior cruciate ligament reconstruction.Method:Fifty-six patients who met the inclusion criteria and were treated in the Department of Trauma Repair,Affiliated Hospital of Yan ’an University from June 2018 to June 2022 underwent Single-bundle anterior cruciate ligament reconstruction(SBACLR)with arthroscopic assistance.patients were divided into observation group(29cases)and control group(27 cases)according to different positions of the femoral tunnels.I.D.E.A.L positioning method was used in the observation group to select the position of the internal opening of the femoral tunnels,while the traditional anatomical positioning method was used in the control group to select the position of the internal opening of the femoral tunnels.The anterior and posterior stability,rotational stability,range of motion and functional status of knee joint were compared between the two groups before and after surgery.Results : All patients were followed up for 12-14 months,with an average of(13.03±0.80)months.Knee function scores(Lysholm score,IKDC score),Pivot shift Test(PST)and Lachman Test(LT)were significantly better than those before surgery(P< 0.001)in both groups at 3,6 and 12 months after surgery.There was no significant difference between groups(P > 0.05).Conclusion:Arthroscopically assisted single bundle reconstruction of the anterior cruciate ligament(SB-ACLR)was performed by both conventional anatomic and I.D.E.A.L localization to determine that the internal opening of the femoral tunnels could restore the function of the knee joint as well as the anterosterior and rotational stability.There were no significant differences in knee function score(Lysholm score,IKDC score),Lachman Test(LT)and Pivot shfit Test(PST)between the two localization methods. |
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