Comparative Analysis Of Clinical Effect Of Single-and Double-bundle Reconstruction Of Anterior Fork Ligament Under Arthroscopy

Objective:To compare the postoperative clinical efficacy of single-and double-beam reconstruction of anterior cruciate ligament(ACL)fracture under arthroscope.Methods:Forty-one patients with ACL injury who met the selection criteria from October 2020 to January 2022 were included for retrospective analysis.They were divided into single-bundle reconstruction group and double-bundle reconstruction group according to different surgical methods.Among the 23 patients in the single-bundle reconstruction group,17 were male and 6 were female.There were 14 males and 4 females in the double-bundle reconstruction group.There was no significant difference in gender,side,age,injury cause and other general data between the two groups(P > 0.05),indicating comparability.There was no significant difference in preoperative Lysholm,International Knee Documentation Committee(IKDC)score and KT-2000 value between the two groups(P > 0.05),and Lachman test and drawer test were positive,showing comparability.Patients were followed up at 3,6,and 12 months after surgery,and relevant scores and evaluation indicators were recorded and compared.Results:All the 41 patients were followed up,and all the patients’ incisions healed in stage I after surgery,without postoperative complications such as operative area infection,graft rupture,and lower extremity deep vein thrombosis.The Lysholm score,IKDC score,KT-2000 value,Lachman test and drawer test were statistically analyzed through preoperative and postoperative follow-up times.Results showed that the postoperative scores and stability evaluation of the two groups were significantly improved compared with the preoperative results,and the results of each follow-up were improved compared with the previous one,but there was no statistical significance between the two groups at the same time(P > 0.05).Conclusion:Both single and double tract ACL reconstruction under arthroscope can achieve good clinical efficacy.Follow-up studies have shown that there is no significant difference in clinical efficacy between the two surgical methods.