Comparison of clinical efficacy between autologous anterior cruciate ligament reconstruction combined with arthroscopic repair of medial collateral ligament injury and traditional open repair

doi:10.13418/j.issn.1001-165x.2025.6.13

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Chinese Journal of Clinical Anatomy ›› 2025, Vol. 43 ›› Issue (6) : 703-709. DOI: 10.13418/j.issn.1001-165x.2025.6.13

Comparison of clinical efficacy between autologous anterior cruciate ligament reconstruction combined with arthroscopic repair of medial collateral ligament injury and traditional open repair

Wu Lichuang, Ye Yiheng, Liu Cailong*

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Abstract

Objective To compare the clinical efficacy of autologous reconstruction of the anterior cruciate ligament combined with arthroscopic repair of the medial collateral ligament injury with that of traditional open repair. Methods A total of 64 patients with anterior cruciate ligament injury complicated by medial collateral ligament injury who were treated in our hospital from January 2018 to January 2023 were selected. They were divided into two groups: the group undergoing autologous reconstruction of the anterior cruciate ligament combined with arthroscopic repair of the medial collateral ligament and the open repair group, with 32 cases in each group. The incidence of postoperative complications, as well as the knee joint function scores (Lysholm score, Tegner score, IKDC score) and knee joint stability at 6 months, 12 months, and 24 months after surgery were compared between the two groups. Results The incidence of postoperative complications in the arthroscopic repair group was lower than that in the open repair group (P<0.05). At 6 months, 12 months, and 24 months after surgery, the Lysholm scores and IKDC scores in the arthroscopic repair group were higher than those in the open repair group (P<0.05). The Tegner scores in the arthroscopic repair group were higher than those in the open repair group at 12 months and 24 months after surgery (P<0.05). There was no significant statistical difference in the stability between the two groups during the postoperative follow-up. Conclusions Compared with traditional open repair, autologous reconstruction of the anterior cruciate ligament combined with arthroscopic repair of the medial collateral ligament injury has the advantages of less trauma, faster recovery, and fewer complications. It can better restore the knee joint function and has reliable stability.

Key words

Anterior cruciate ligament / / / Medial collateral ligament / / / Arthroscopic repair / / / Open repair / / / Clinical efficacy

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Wu Lichuang, Ye Yiheng, Liu Cailong. Comparison of clinical efficacy between autologous anterior cruciate ligament reconstruction combined with arthroscopic repair of medial collateral ligament injury and traditional open repair[J]. Chinese Journal of Clinical Anatomy. 2025, 43(6): 703-709 https://doi.org/10.13418/j.issn.1001-165x.2025.6.13

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