KẾT QUẢ PHẪU THUẬT NỘI SOI TÁI TẠO ĐỒNG THỜI DÂY CHẰNG CHÉO TRƯỚC VÀ CHÉO SAU BẰNG MẢNH GHÉP GÂN MÁC DÀI ĐỒNG LOẠI TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objectives: To evaluate functional outcome of simultaneous arthroscopic ACL and PCL reconstruction with peroneus longus tendon allograft in multiligamentous knee injuries. Patients  and  Methods: This description cross-sectional study was  performed on  32  patients  with  combined ACL-PCL injuries who underwentsimultaneous arthroscopic ACL-PCL reconstruction with peroneus longus  tendon at Viet Duc Hospital from 01/2017 to 01/2022. Sampling all eligible patients and consented to participate in the study. Post-operative results to monitor surgical status, fever, joint effusion and results after 6 months according to Lysholme and IKDC 2000 score. Results: In 32 patients, the mean age was 36.44 ± 10.1 years old (the lowest was 19 and the highest was 58 years old), the male/female ratio: 56,3/43.7%. The cause of traffic accidents is the highest, accounting for 59.4%. After surgery, the negative rate (0+, 1+) with Lachman signs /Lachman retrograde is 96.9% / 100%, anterior/posterior drawer is 100%/100%. Lysholm score increased on average from 39.9 to 89.7 points with p < 0.01, IKDC score before surgery with 94% type C and 90.6% grade D, after surgery significantly improved with 53.1% classified A, 43.8% classified B and only 3.1% classified C, no cases classified D at 6 months postoperatively. Conclusions: Simultaneous arthroscopic ACL and PCL reconstructions   using   peroneus longus allograft tendon for combined ACL and PCL injuries is a procedurewith better patient compliance and reproducible for a timely return of motion, strength, and function with favorable outcome.