Research Arthroscopic Treatment Of Kneedislocation Cruciate Ligament Reconstruction With Clinical Efficacy Of Traditional Open Surgery

Objective The purpose of this study is to investigate the arthroscopic anterior cruciateligament reconstruction compared with traditional open surgery knee dislocation, thearthroscopic surgical results is superior.Methods Fifty cases of knee dislocatio from February2011to February2013in thesecond hospital of TANGSHAN have been Collected and which will be divided into twogroups:26cases (Male:23, Female:4cases; Age:36.6±8.3years old) in traditional opensurgical technique group and24cases (Male:22cases, Females:2cases; Age:35.8±7.9years old) in arthroscopic surgery group. After surgery, their follow-up medicalinformations were obtained. Lysholm、KT-2000、IKDC、Marshall knee score wereused to identify the knee functional to follow after fifty patients in different times, andthen further comparative assessment of the efficacy of arthroscopic treatment group andthe open surgery group.Knee score of two group, the higher the status of those kneerecovery is better.Results（1）General emergency patients were admitted to hospital,early disposal ofknee dislocation principle is reset；Exploratory arthroscopic surgery on the anteriorcruciate ligament has been broken and to determine and ligament reconstruction; X-rayexamination after Surgery, vising on the intra-articular in arthroscopic surgery is lessdamage than the open Surgery；Arthroscopic surgery incision is smaller than the openSurgery and is conducive cut recovery.（2）Lysholm knee score analysised50patientswith traumatic knee dislocation according to three stages of3months,6months and1year. Follow-up three months later: Lysholm score was75.6±12.6in incision group, andwas84.3±10.3in arthroscopic surgery group.The follow-up results of arthroscopicsurgery group of the Lysholm score is more than the open surgery group. The follow-upLysholm score results were statistically significant differences (P <0.05); follow-up sixmonths later: the means of Lysholm score was78.8±11.9in incision group, and was87.6±10.4in arthroscopic surgery. The follow-up results of arthroscopic surgery group ofthe Lysholm score is more than the open surgery group. The follow-up Lysholm scoreresults were statistically significant differences (P <0.05); follow-up after1year: themeans of Lysholm score was82.5±15.1in open surgery group, and was90.7±8.5inarthroscopic surgery. The follow-up results of arthroscopic surgery group of the Lysholmscore is more than the open surgery group. The follow-up Lysholm score results werestatistically significant differences (P <0.05);（3）The knees of50patients is stability,The follow-up3months,6months,1year in review of patient,50patients kneedislocation in2.2mm or less; After6months,2cases of postoperative in open surgery is dislocation in2.6mm. Patients did not feel the knee feels unstable, the last time,the kneesof the patients were unchanged translational degrees, the remaining patients were withinthe joint translational in3mm less. Ipsilateral and contralateral in KT-2000, Side-sidedifference <3mm, Postoperative time points each side-side difference comparison, Thedifference was not statistically significant (P>0.05), It is that groups before and afterknee surgery is no difference to the stability of the knee.（4）Postoperative IKDCscore between the two groups was statistically significant difference (P <0.05), After eachtime point were statistically significant differences with the IKDC score before surgery (P<0.05); Postoperative IKDC scores at each time point, after3months,6months,1yearresults P <0.05, The difference was statistically significant. Preoperative open surgerygroup compared with the results of arthroscopic group IKDC score P>0.05the differencewas not statistically significant.（5）Marshall knee score analysised50patients withtraumatic knee dislocation according to three stages of3months,6months and1year.Follow-up three months later: Marshall score was74.6±12.6in incision group, andwas84.2±10.3in arthroscopic surgery group.The follow-up results of arthroscopicsurgery group of the Marshall score is more than the open surgery group. The follow-upMarshall score results were statistically significant differences (P <0.05); follow-up sixmonths later: the means of Marshall score was77.8±11.9in incision group, and was87.6±10.4in arthroscopic surgery. The follow-up results of arthroscopic surgery groupof the Marshall score is more than the open surgery group. The follow-up Marshall scoreresults were statistically significant differences (P <0.05); follow-up after1year: themeans of Marshall score was81.5±15.1in open surgery group, and was90.7±6.5inarthroscopic surgery. The follow-up results of arthroscopic surgery group of the Marshallscore is more than the open surgery group. The follow-up Marshall score results werestatistically significant differences (P <0.05);Conclusions Treatment of knee dislocation with cruciate ligament reconstruction is infavor of knee function recovery.2Arthroscopic treatment of knee dislocation withcruciate ligament reconstruction is less trauma, fewer complications3. Compared withopen surgery, arthroscopic with anterior cruciate ligament reconstruction technology intreatment of knee dislocation is better to functional recovery of patients knees.