| Objective The long fibula tendon as a new graft material for reconstruction of the posterior cruciate ligament has achieved satisfactory short-term efficacy,but the long-term efficacy is not yet clear,especially the long-term stability of the ankle joint in the donor area is questioned.In this study,we retrospectively analyzed the basic clinical data,imaging data,physical examination results,and knee and ankle function scores of patients with posterior cruciate ligament injury after ten years of operation to evaluate the ten-year postoperative functional recovery of patients.Compare the long-term efficacy of the peroneus longus tendon with the hamstring tendon as a graft,and the complications in the donor area.It provides a certain basis for the clinical reconstruction of the posterior cruciate ligament injury with long fibula tendon.Methods From November 2008 to April 2010,45 patients who underwent posterior cruciate ligament reconstruction were selected from Tangshan People's Hospital and Tangshan Second Hospital,of which 24 patients were with peroneal long tendon reconstruction and 21 were iliac crests.The patients with hamstring tendon reconstruction all took more than 10 years after operation.Patients aged 18 to 73 years were treated as patients in group A with fibula long tendon reconstruction and patients in group with hamstring tendon reconstruction.The peripheral limb diameter,IKDC,Lysholm,Tegner knee scores,ankle function AOFAS and Maryland scores were measured.The differences between the two groups were compared with those before surgery,the healthy side and the two groups.Results Clinical study: There was no statistically significant difference between the two groups in the 10-year follow-up of the lower limb circumference(t=0.067,P=0.136);the 10-year postoperative IKDC score,Lysholm score,and Tegner score of the two groups were compared with the healthy side The difference was not statistically significant(t=0.264,P=0.102;t=0.381,P=0.197;t=0.072,P=0.901;t=0.091,P=0.871;t=0.315,P=0.206;t=0.266,P=0.280),the difference was statistically significant compared with preoperative(t=-47.534,P<0.001;t=-41.766,P<0.001;t=-20.071,P<0.001;t=-27.455,P <0.001;t=-45.004,P<0.001;t=-41.855,P<0.001),the difference between the two groups was not statistically significant(t=1.257,P=0.314;t=0.061,P=0.886;t=1.269,P=0.296);There was no statistically significant difference between the two groups in the determination of KT2000 compared with the healthy side(t=0.023,P=0.913;t=0.016,P=0.826),and the difference was statistically significant compared with preoperative(t=-30.604,P<0.001;t=-39.855,P<0.001),the difference between the two groups was not statistically significant(t=0.045,P=0.886);the AOFAS score and Maryland score of ankle joint function in group A and the healthy side The differences were not statistically significant(t=0.763,P=0.314;t=1.569,P=0.217).Conclusions The long-term clinical effect of peroneal long tendon transplantation to reconstruct PCL is not weaker than the hamstring tendon,and it has the advantages of simple and convenient removal of the tendon and fewer complications in the donor area,which is worthy of clinical promotion.Figure0;Table17;Reference 188... |
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