Anterior Cruciate Ligament Reconstruction Using Ligament Advanced Reinforcement System Artificial Ligament in 28 Cases
摘要
BACKGROUND: Previous artificial ligament is easy to break for material fatigue and to appear synonitis for material biocompatibility. OBJECTIVE: To observe the application effect of ligament advanced reinforcement system (LARS) artificial ligament in reconstruction of anterior cruciate ligament via follow-up. DESIGN, TIME AND SETTING: An own control, follow-up observation was performed between August 2004 and January 2007 at the Department of Orthopedics and Joint Surgery, Shanghai Changzheng Hospital, Shanghai, China. PARTICIPANTS: Twenty-eight patients with anterior cruciate ligament injury, including 16 with sport injury and 12 with vehicle accident injury. MATERIALS: The main component of LARS artificial ligament (Laboratoire d' Applieation et de Recherche Scientifique, France) is the high-tenacity polyester fiber polyethylene terephthalate. METHODS: Twenty-eight patients with anterior cruciate ligament injury were performed arthroscopic reconstruction of theligament with LARS artificial ligament and were averagely followed up for 20 months. MAIN OUTCOME MEASURES: Patients' anterior drawer test, Lysholm score, range of motion prior to transplantation and in follow-up. RESULTS: The knee unstable symptom of 28 patients disappeared, anterior drawer test was negative, joint function was good with the flexion of 5.71 to 129.64 degrees. Average Lysholm score raised from (45.7±9.82) points prior totransplantation to (86.5±6.44) points after transplantation (P＜0.001). All patients resumed normal activities at 2 months after transplantation, without acute or chronic synovitis and host response to materials. CONCLUSION: LARS artificial ligament is a relatively safe transplantation material and especially suitable to reconstruct anterior cruciate ligament with sport injury. Mid-/short-term follow-up shows good result.