Evidence map›Paper›PMID 35038796›Full record

ArticleZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery2022

[Anatomical posterolateral complex reconstruction in treating severe posterolateral knee instability using Y-shaped allogeneic Achilles tendon].

Hui Zhang, Lei Hong, Xuesong Wang, Guanyang Song, Yue Li, Zhijun Zhang

Open access · greenAbstract read
In one paragraph

Article in Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Hui ZhangDepartment of Sports Medicine, Beijing Jishuitan Hospital, Beijing, 100035, P. R. China.
Lei HongDepartment of Sports Medicine, Beijing Jishuitan Hospital, Beijing, 100035, P. R. China.
Xuesong WangDepartment of Sports Medicine, Beijing Jishuitan Hospital, Beijing, 100035, P. R. China.
Guanyang SongDepartment of Sports Medicine, Beijing Jishuitan Hospital, Beijing, 100035, P. R. China.
Yue LiDepartment of Sports Medicine, Beijing Jishuitan Hospital, Beijing, 100035, P. R. China.
Zhijun ZhangDepartment of Sports Medicine, Beijing Jishuitan Hospital, Beijing, 100035, P. R. China.
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the surgical technique and effectiveness of anatomical posterolateral complex (PLC) reconstruction in treating severe posterolateral knee instability using Y-shaped allogeneic Achilles tendon.

methodsThe clinical data of 12 patients with Fanelli type C chronic PLC injury with severe posterolateral knee instability who met the selection criteria between June 2013 and August 2017 were retrospectively analyzed. There were 9 males and 3 females, with a median age of 34.5 years (range, 18-57 years). The average time from injury to surgery was 10.5 months (range, 3-24 months). All of them were multi-ligament injuries and were treated with anatomical reconstruction of Y-shaped allogeneic Achilles tendon. The posterior and varus stress X-ray films were used to measure and calculate the difference of posterior displacement of tibia and difference of lateral joint opening distance between bilateral knees to evaluate the backward stability of LCL and knee joint; the knee flexion 30° tibial external rotation test was used to calculate the difference of tibial external rotation angle between bilateral knees to evaluate the stability of knee external rotation. The knee function was evaluated by the International Knee Documentation Committee (IKDC) 2000 subjective and objective scores.

resultsThe operation successfully completed in 12 patients, and there was no vascular and nerve injury during operation. The operation time was 2.5-3.5 hours, with an average of 2.7 hours; the intraoperative blood loss was 20-100 mL, with an average of 55 mL. All patients were followed up 13-41 months, with an average of 28.1 months. At last follow-up, the difference of posterior displacement of tibia, the difference of lateral joint opening, the difference of tibial external rotation angle between bilateral knees, and the IKDC2000 subjective score, the objective scores of tibial external rotation and knee varus significantly improved when compared with those before operation (

conclusionAnatomical PLC reconstruction using Y-shaped allogeneic Achilles tendon can effectively treat Fanelli type C chronic PLC injury with severe posterolateral knee instability and improve the knee joint stability.

Indexed as

Achilles TendonHematopoietic Stem Cell TransplantationJoint InstabilityPlastic Surgery ProceduresPosterior Cruciate LigamentAdolescentAdultFemaleHumansKnee JointMaleMiddle AgedRange of Motion, ArticularRetrospective StudiesTreatment OutcomeYoung Adultallogeneic Achilles tendonanatomical reconstructionlateral collateral ligamentpopliteofibular ligamentPosterolateral complex

Identifiers

PMID35038796
PMCPMC8844629
OpenAlexW4205626376

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.