透视辅助定位"理想"股骨止点重建术治疗前交叉韧带损伤的疗效分析OA

Objective To explore the efficacy of fluoroscopically assisted"I.D.E.A.L."femoral insertion reconstruction in the treatment of anterior cruciate ligament injury.Methods The clinical data of 67 patients with ACL injury admitted to the Sports Hospital,Institute of Sports Medicine,General Administration of Sport of China from January 2017 to January 2021 were ret-rospectively analyzed.According to different surgical reconstruction methods,they were divided into observation group(n=32)and control group(n=35).The observation group,underwent"1.D.E.A.L."femoral insertion reconstruction assisted by fluorosco-py.The control group underwent routine arthroscopic ACL reconstruction.The results of knee joint physical examination,knee joint function score and knee joint motor function were compared between the two groups at the postoperative follow-up time,and postop-erative complications were observed.Results The observation group was followed up for 12 to 30 months,the average(21.44±4.91)months,the control group was followed up for 14 to 32 months,the average(22.26±5.68).The postoperative Lysholm score,IKDC score,and Marx score in the observation group were significantly higher than those in the control group(all P＜0.05).The ratios of the affected side to the healthy side in the single-leg hop test,triple hop test,and crossover triple hop test in the observation group were significantly better than those in the control group(all P＜0.05).There were no statistically significant differences between the two groups in postoperative knee physical examination results(Lachman test,pivot shift test),ACL-RSI score,Y-balance test ratio(affected/healthy side),or the incidence of postoperative complications(all P＞0.05).Conclusion Fluoroscopy-assisted"I.D.E.A.L."femoral insertion reconstruction for anterior cruciate ligament injury can improve knee func-tional score and motor function performance,and is safe and reliable.