Short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament rupture_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YOU Tian , BAI Lu , ZHANG Xintao , LI Wei , JIANG Changqing ,  ZHANG Wentao

Department of Sports Medicine and Rehabilitation, Peking University Shenzhen Hospital, Shenzhen Guangdong, 518036, P.R.China;

Corresponding author：

ZHANG Wentao, Email: 17914@163.com

Keywords：

Partial anterior cruciate ligament rupture; absorbable anchor; arthroscopy; ligament repair

DOI：

10.7507/1002-1892.201610026

Video：

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Objective To study the short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament (ACL) rupture. Methods Between December 2013 and February 2015, 22 patients with partial ACL rupture were repaired with absorbable anchor under arthroscopy. There were 12 males and 10 females with an average age of 27.5 years (range, 20-44 years). The injury located at left knee in 8 cases and at right knee in 14 cases. The time from injury to admission ranged from 2 to 13 days (mean, 9.8 days). Sixteen partial ACL ruptures combined with meniscus injury. The effectiveness was assessed by Tegner score, Lysholm score, International Knee Documentation Committee (IKDC) score, visual analogue scale (VAS) score, and MRI, as well as knee laxity was evaluated by KT-1000. Results All incisions healed at stage Ⅰ without any complication. All patients were followed up 12 months. ACL rerupture did not occurred during follow-up. There was no significant difference in Tegner score, Lysholm score, and IKDC score between before injury and at 12 months after operation (P>0.05). And the median satisfaction VAS score was 9.5 (range, 9-10). The tibial anterior translation difference was 0.5 mm (range, 0-6 mm). MRI showed that the scarring and continuity of the ligament were rated as grade 1 in all patients. Conclusion Arthroscopic repairing by absorbable anchor is a feasible method for partial ACL rupture, with ideal knee function, good satisfaction, and satisfactory short-term effectiveness.

Citation： YOU Tian, BAI Lu, ZHANG Xintao, LI Wei, JIANG Changqing, ZHANG Wentao. Short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament rupture. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(10): 1190-1194. doi: 10.7507/1002-1892.201610026 Copy

1.	Gianotti SM, Marshall SW, Hume PA, et al. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport, 2009, 12(6): 622-627.
2.	Muaidi QI, Nicholson LL, Refshauge KM. Effect of anterior cruciate ligament injury and reconstruction on proprioceptive acuity of knee rotation in the transverse plane. Am J Sports Med, 2009, 37(8): 1618-1626.
3.	Strehl A, Eggli S. The value of conservative treatment in ruptures of the anterior cruciate ligament (ACL). J Trauma, 2007, 62(5): 1159-1162.
4.	Mahmut ND. 运动伤: 预防、诊断、治疗与康复. 张文涛, 主译. 北京: 人民卫生出版社, 2015: 312-317.
5.	Eggli S, Kohlhof H, Zumstein M, et al. Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL. Knee Surg Sports Traumatol Arthrosc, 2015, 23(4): 1215-1221.
6.	Hakozaki A, Niki Y, Enomoto H, et al. Clinical significance of T2*-weighted gradient-echo MRI to monitor graft maturation over one year after anatomic double-bundle anterior cruciate ligament reconstruction: a comparative study with proton density-weighted MRI. Knee, 2015, 22(1): 4-10.
7.	Luc B, Gribble PA, Pietrosimone BG. Osteoarthritis prevalence following anterior cruciate ligament reconstruction: a systematic review and numbers-needed-to-treat analysis. J Athl Train, 2014, 49(6): 806-819.
8.	Hamido F, Al Harran H, Al Misfer AR, et al. Augmented short undersized hamstring tendon graft with LARS artificial ligament versus four-strand hamstring tendon in anterior cruciate ligament reconstruction: preliminary results. Orthop Traumatol Surg Res, 2015, 101(5): 535-538.
9.	Piasecki DP, Verma NN. Anatomic Transtibial Anterior Cruciate Ligament Reconstruction. Oper Tech Sports Med, 2013, 21(1): 19-26.
10.	Tsoukas D, Fotopoulos V, Basdekis G, et al. No difference in osteoarthritis after surgical and non-surgical treatment of ACL-injured knees after 10 years. Knee Surg Sports Traumatol Arthrosc, 2016, 24(9): 2953-2959.
11.	Chalmers PN, Mall NA, Moric M, et al. Does ACL reconstruction alter natural history?: A systematic literature review of long-term outcomes. J Bone Joint Surg (Am), 2014, 96(4): 292-300.
12.	Simon D, Mascarenhas R, Saltzman BM, et al. The Relationship between Anterior Cruciate Ligament Injury and Osteoarthritis of the Knee. Adv Orthop, 2015, 2015: 928301.
13.	van Meer BL, Meuffels DE, van Eijsden WA, et al. Which determinants predict tibiofemoral and patellofemoral osteoarthritis after anterior cruciate ligament injury? A systematic review. Br J Sports Med, 2015, 49(15): 975-983.
14.	Furlanetto TS, Peyré-Tartaruga LA, do Pinho AS, et al. Proprioception, Body Balance and Functionality in Individuals With ACL Reconstruction. Acta Ortop Bras, 2016, 24(2): 67-72.
15.	Serrano-Fernandez JM, Espejo-Baena A, Martin-Castilla B, et al. Augmentation technique for partial ACL ruptures using semitendinosus tendon in the over-the-top position. Knee Surg Sports Traumatol Arthrosc, 2010, 18(9): 1214-1218.
16.	谢国明, 董士奎, 皇甫小桥, 等. 保留胫骨残端重建前交叉韧带对韧带重塑相关基因表达的影响. 中国修复重建外科杂志, 2016, 30(1): 15-20.0.
17.	Henle P, Röder C, Perler G, et al. Dynamic Intraligamentary Stabilization (DIS) for treatment of acute anterior cruciate ligament ruptures: case series experience of the first three years. BMC Musculoskelet Disord, 2015, 16(1): 1-9.
18.	Mastrangelo AN, Vavken P, Fleming BC, et al. Reduced platelet concentration does not harm PRP effectiveness for ACL repair in a porcine in vivo model. J Orthop Res, 2011, 29(7): 1002-1007.
19.	Zumstein MA, Bielecki T, Dohan DM. The future of platelet concentrates in sports medicine: platelet-rich plasma, platelet-rich fibrin, and the impact of scaffolds and cells on the long-term delivery of growth factors. Oper Tech Sports Med, 2011, 19(3):190-197.

1. Gianotti SM, Marshall SW, Hume PA, et al. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport, 2009, 12(6): 622-627.
2. Muaidi QI, Nicholson LL, Refshauge KM. Effect of anterior cruciate ligament injury and reconstruction on proprioceptive acuity of knee rotation in the transverse plane. Am J Sports Med, 2009, 37(8): 1618-1626.
3. Strehl A, Eggli S. The value of conservative treatment in ruptures of the anterior cruciate ligament (ACL). J Trauma, 2007, 62(5): 1159-1162.
4. Mahmut ND. 运动伤: 预防、诊断、治疗与康复. 张文涛, 主译. 北京: 人民卫生出版社, 2015: 312-317.
5. Eggli S, Kohlhof H, Zumstein M, et al. Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL. Knee Surg Sports Traumatol Arthrosc, 2015, 23(4): 1215-1221.
6. Hakozaki A, Niki Y, Enomoto H, et al. Clinical significance of T2*-weighted gradient-echo MRI to monitor graft maturation over one year after anatomic double-bundle anterior cruciate ligament reconstruction: a comparative study with proton density-weighted MRI. Knee, 2015, 22(1): 4-10.
7. Luc B, Gribble PA, Pietrosimone BG. Osteoarthritis prevalence following anterior cruciate ligament reconstruction: a systematic review and numbers-needed-to-treat analysis. J Athl Train, 2014, 49(6): 806-819.
8. Hamido F, Al Harran H, Al Misfer AR, et al. Augmented short undersized hamstring tendon graft with LARS artificial ligament versus four-strand hamstring tendon in anterior cruciate ligament reconstruction: preliminary results. Orthop Traumatol Surg Res, 2015, 101(5): 535-538.
9. Piasecki DP, Verma NN. Anatomic Transtibial Anterior Cruciate Ligament Reconstruction. Oper Tech Sports Med, 2013, 21(1): 19-26.
10. Tsoukas D, Fotopoulos V, Basdekis G, et al. No difference in osteoarthritis after surgical and non-surgical treatment of ACL-injured knees after 10 years. Knee Surg Sports Traumatol Arthrosc, 2016, 24(9): 2953-2959.
11. Chalmers PN, Mall NA, Moric M, et al. Does ACL reconstruction alter natural history?: A systematic literature review of long-term outcomes. J Bone Joint Surg (Am), 2014, 96(4): 292-300.
12. Simon D, Mascarenhas R, Saltzman BM, et al. The Relationship between Anterior Cruciate Ligament Injury and Osteoarthritis of the Knee. Adv Orthop, 2015, 2015: 928301.
13. van Meer BL, Meuffels DE, van Eijsden WA, et al. Which determinants predict tibiofemoral and patellofemoral osteoarthritis after anterior cruciate ligament injury? A systematic review. Br J Sports Med, 2015, 49(15): 975-983.
14. Furlanetto TS, Peyré-Tartaruga LA, do Pinho AS, et al. Proprioception, Body Balance and Functionality in Individuals With ACL Reconstruction. Acta Ortop Bras, 2016, 24(2): 67-72.
15. Serrano-Fernandez JM, Espejo-Baena A, Martin-Castilla B, et al. Augmentation technique for partial ACL ruptures using semitendinosus tendon in the over-the-top position. Knee Surg Sports Traumatol Arthrosc, 2010, 18(9): 1214-1218.
16. 谢国明, 董士奎, 皇甫小桥, 等. 保留胫骨残端重建前交叉韧带对韧带重塑相关基因表达的影响. 中国修复重建外科杂志, 2016, 30(1): 15-20.0.
17. Henle P, Röder C, Perler G, et al. Dynamic Intraligamentary Stabilization (DIS) for treatment of acute anterior cruciate ligament ruptures: case series experience of the first three years. BMC Musculoskelet Disord, 2015, 16(1): 1-9.
18. Mastrangelo AN, Vavken P, Fleming BC, et al. Reduced platelet concentration does not harm PRP effectiveness for ACL repair in a porcine in vivo model. J Orthop Res, 2011, 29(7): 1002-1007.
19. Zumstein MA, Bielecki T, Dohan DM. The future of platelet concentrates in sports medicine: platelet-rich plasma, platelet-rich fibrin, and the impact of scaffolds and cells on the long-term delivery of growth factors. Oper Tech Sports Med, 2011, 19(3):190-197.

Chinese Journal of Reparative and Reconstructive Surgery

Short-term effectiveness of absorbable anchor in repairing of partial anterior cruciate ligament rupture

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