Part Under Arthroscopy In The Treatment Of Anterior Cruciate Ligament Rupture Of Clinical Research

Purpose: To discuss anterior cruciate ligament part arthroscopic faults inthe implementation of the methods of revascularization experience.Materials and methods: from January2011to December2011,84cases of ourincome anterior cruciate ligament injury patients,34of them an example of theanterior cruciate ligament injury patients. One of men with24cases of womenwith10cases, age span for22years old to57years old, with an average ageof32.5years, with injuries to the shortest time for surgery for3days, thelongest of2.5years, an average of1.6months.28cases of sports injury,5cases for a car,1pressure jammed, including simple fracture cases across before13cases, combined with unilateral meniscal injury cases in12cases, the lateralmeniscus damage cases in5cases,3cases with medial collateral ligament andvice meniscal injury,1exception lateral femoral condyle cartilage2degreesinjury and meniscal injury, the acute phase hospital patients mostly when theknee joint swelling and pain, and knee buckling difficulties, the popliteal fossais passive in purple patches. Chronic-phase has more knee instability, a greatsoft leg phenomenon, come downstairs time aggravating, dare not to a sudden stop.Intraoperative see ACL before CeShu fracture in13cases, the CeShu fractureafter21cases. All USES four strands of half a tendon tendon autograft anteriorcruciate ligament reconstruction of the ligament rupture reconstructiveapproach, preoperative patients will describe a walking leg playing soft, can’turgent stop, the down symptoms appear, to34cases were part of the ligamentpatients for screening,30cases lachman test positive,4cases, weak positive,drawer before the test is positive28patients,6patients with weak positive.Our operation of arthroscopy ligament reconstruction recovery planrehabilitation training,6to10months after Lysholm score by the standard forthe curative effect evaluation. Results: postoperative the34patients were followed, and follow-up time sixmonths to months, an average of8.2months, no case was an infection, graft,become loose, graft rejection. One simple anterior cruciate ligament rupturepatients pain, playing soft leg symptoms disappear. Merger meniscal injury andcartilage damage serious patients still feeling pain when a routine, but jointstability improved remarkably. On the knee joint mobility basic stability found,lachman test32cases negative,2cases of weak positive, the drawer in31casesbefore test negative,3cases, weak positive. The Lysholm rating criteriaassessment efficacy of preoperative, averaging43.2points and90.8pointsafter.Conclusions: for knee ACL part of partial revascularization fracture can notonly effectively of assurance of the knee joint stability, also can effectivelyput off knee osteoarthritis disease development, prevent the knee instabilitycaused damage of cartilage and ligament damage to not to keep can not onlyreinforced after reconstruction of ACL, also can promote the transplant tendonsand bones way blood circulation, speeding up the tendons and bones of the waywith speed. Proof of this surgery on ACL part of the fracture has a very importantrole.