| Objective To compare the clinical effect of early versus delayed arthroscopically-assisted reconstruction of the anterior cruciate ligament injury.Methods During January 2014 and January 2016,115 patients with anterior cruciate ligament injury were chosen,according to the timing of surgery divided into early arthroscopically-assisted reconstruction group(n=75)and delayed arthroscopically-assisted reconstruction group(n=40),the patients were followed up for 14 year.Patients with knee joint international rating(IKDC),Lysholm knee grade and Tenger knee joint activities,shrinkage index,Lachman and neutral former drawer test results(ADT)and the incidence of postoperative complications were compared.Results The patients were followed up for 14 weeks,there is no statistically significant difference early versus delayed arthroscopically-assisted reconstruction in Lachman and ADT observation index in both groups(P> 0.05).IKDC,Lysholm and Tegner score in early surgery was higher than late surgery group,but there were no statistically significant difference(P>0.05).Early scores thigh atrophy index less than late surgery group,the difference was statistically significant(t=0.766,P=0.766).Early buckling surgery group limited(12±3)°,late buckling surgery group limited(11±3)°,there was no statistically significant difference(t=1.703,P=1.703).Early surgical group limited and for(4 ±1)°,late surgery group and restricted to(3.5±2)°,there was no statistically significant difference(t=1.790,P=1.790).Early scores Lysholm higher than late surgery group,the difference was statistically significant(t=2.068,P=2.068).Conclusion For an ACL injury patients,early and late surgery in patients with postoperative surgical effect and no obvious difference,but for the merger of meniscus injury of ACL injury patients,it is suggested that early lines of ACL revascularization and fix meniscus injury,early surgery could improve the knee joint function. |
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