Journal of Shandong University (Health Sciences) ›› 2025, Vol. 63 ›› Issue (3): 22-27.doi: 10.6040/j.issn.1671-7554.0.2024.0998

• Clinical Diagnosis and Treatment in Orthopedics • Previous Articles    

Short-term efficacy of all-inside anterior cruciate ligament reconstruction assisted by internal brace technique

WANG Jianxu1, PENG Xiaohui2, FENG Haotian1, AN Senbo1, DONG Zihao1, HUANG Zishuai1, LIU Zhe1, YANG Guang<sup>1,2   

  1. 1. Department of Joint Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250022, Shandong, China;
    2. Shandong Product Quality Inspection and Research Institute, Jinan 250199, Shandong, China
  • Published:2025-04-08

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Abstract: Objective To investigate the short-term efficacy of all-inside anterior cruciate ligament reconstruction(ACLR)assisted by internal brace technique under arthroscopy. Methods A retrospective study was performed on 42 patients with all-inside ACLR assisted by internal brace technique who were admitted to the Department of Joint Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University from July 2022 to June 2023. The femoral and tibial ends were fixed by double suspension with adjustable loop titanium plates, and the autosemitendinosus for ACL graft. High-strength sutures or wire bands were inserted into the femoral ends of the titanium plates, and then fixed in the tibial cortex with knot-free anchors after pulling out the tibial ends. Clinical outcome was evaluated with International Knee Documentation Committee(IKDC)score, Lysholm score, and knee stability tests(Lachman test and pivot shift test). Results All of the 42 patients underwent successful surgery and were followed up for 6 to 12 months, with an average duration of 9.7 months. At the final follow-up, no complications, such as infection or ligament re-rupture, were observed in any of the patients. The Lysholm score and IKDC score recovered from preoperative 50.10±3.19 and 51.42±4.52 to the last follow-up 82.38±2.86 and 84.89±3.39, respectively, with statistical significance(P<0.001). All Lachman tests were positive before surgery(17 cases of grade Ⅱ and 25 cases of grade Ⅲ), and only 1 case was positive at the last follow-up(1 case of grade Ⅰ), the difference was statistically significant(P<0.001). The pivot shift test was negative at the last follow-up, significantly less than the 42 cases before surgery(2 cases in normal, 12 cases in grade Ⅰ, 28 cases in grade Ⅱ, 0 cases in grade Ⅲ), and the difference was statistically significant(P<0.001). Conclusion The application of all-inside anterior cruciate ligament reconstruction assisted by internal brace technique can obtain satisfactory short-term clinical outcomes, and has a significant improvement in the functional capacity and stability of the patients knee joint.

Key words: Anterior cruciate ligament rupture, Knee arthroscopy, All-inside anterior cruciate ligament reconstruction, Internal Brace, Short-term efficacy

CLC Number: 

  • R684.3
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