Soliudeen Adebayo Arojuraye , Ibrahim Abolaji Alabi , Ibrahim Usman Mustapha
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The inclusion criteria were patients between the ages of 18 and 45 years with chronic isolated LCL and not more than 1 injury of knee ligament. Exclusion criteria were active infection, and multi-ligament knee injury requiring 2-staged surgery. The knee functions were assessed preoperatively, 3 months, 6 months, and 12 months postoperatively using the Lysholm scoring system. Patient satisfaction with the outcome of the treatment was assessed using a 5-point Likert scale. Relevant information was recorded into Microsoft Excel sheet and data was analyzed using SPSS version 23.0 for windows. The paired samples <em>t</em>-test was used to compare the clinical outcomes as continuous variables. Statistical significance was considered at <em>p</em> < 0.05.</p></div><div><h3>Results</h3><p>The mean age of the patients was (30.10 ± 5.90) years. The median time from injury to surgery was 7 months (ranging from 3 to 28 months). The mean follow-up period was (14.07 ± 3.13) months. The mean preoperative and 1-year postoperative Lysholm scores were 44.33 ± 12.97 and 97.96 ± 1.23, respectively.</p></div><div><h3>Conclusion</h3><p>Percutaneous LCL reconstruction using peroneus longus autograft significantly improves patient knee function and results in excellent patient satisfaction.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"27 1","pages":"Pages 58-62"},"PeriodicalIF":1.8000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000949/pdfft?md5=ab40746fad263be19999dc18424017a5&pid=1-s2.0-S1008127523000949-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Outcome of percutaneous reconstruction of chronic lateral collateral ligament rupture\",\"authors\":\"Soliudeen Adebayo Arojuraye , Ibrahim Abolaji Alabi , Ibrahim Usman Mustapha\",\"doi\":\"10.1016/j.cjtee.2023.09.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><p>Many techniques have been described for the reconstruction of chronic lateral collateral ligament (LCL) rupture with different autograft options. The advantages of percutaneous LCL reconstruction include small incisions, minimal soft tissue disruption, less postoperative pain, and speedy rehabilitation and recovery. The aim of this study was to report the functional outcome of percutaneous LCL reconstruction and overall patient satisfaction in Africans.</p></div><div><h3>Methods</h3><p>This prospective and interventional study involving 51 patients with chronic LCL rupture who had percutaneous LCL reconstruction using peroneus longus autograft was conducted between January 2021 and December 2022 in National Orthopaedic Hospital, Dala-Kano, Nigeria. The inclusion criteria were patients between the ages of 18 and 45 years with chronic isolated LCL and not more than 1 injury of knee ligament. Exclusion criteria were active infection, and multi-ligament knee injury requiring 2-staged surgery. The knee functions were assessed preoperatively, 3 months, 6 months, and 12 months postoperatively using the Lysholm scoring system. Patient satisfaction with the outcome of the treatment was assessed using a 5-point Likert scale. Relevant information was recorded into Microsoft Excel sheet and data was analyzed using SPSS version 23.0 for windows. The paired samples <em>t</em>-test was used to compare the clinical outcomes as continuous variables. Statistical significance was considered at <em>p</em> < 0.05.</p></div><div><h3>Results</h3><p>The mean age of the patients was (30.10 ± 5.90) years. The median time from injury to surgery was 7 months (ranging from 3 to 28 months). The mean follow-up period was (14.07 ± 3.13) months. 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引用次数: 0
摘要
目的：已经描述了多种不同自体移植方案重建慢性外侧副韧带（LCL）断裂的技术。经皮LCL重建的优点包括切口小、软组织破坏小、术后疼痛少、康复和恢复快。本研究的目的是报告非洲人经皮LCL重建的功能结果和患者的总体满意度，达拉卡诺，尼日利亚。纳入标准为年龄在18至45岁之间患有慢性孤立性LCL且膝关节韧带损伤不超过一次的患者。排除标准为活动性感染和需要两阶段手术的膝关节多韧带损伤。使用Lysholm评分系统对术前、术后3个月、6个月和12个月的膝关节功能进行评估。使用5分Likert量表评估患者对治疗结果的满意度。将相关信息记录在Microsoft Excel表格中，并使用SPSS 23.0 for windows对数据进行分析。配对样本t检验用于比较作为连续变量的临床结果。结果：患者平均年龄为（30.10±5.90）岁。从受伤到手术的中位时间为7个月（从3个月到28个月不等）。平均随访时间为（14.07±3.13）个月。术前和术后1年的平均Lysholm评分分别为44.33±12.97和97.96±1.23。结论：自体腓骨长肌经皮LCL重建术可显著改善患者膝关节功能，患者满意度高。
Outcome of percutaneous reconstruction of chronic lateral collateral ligament rupture
Purpose
Many techniques have been described for the reconstruction of chronic lateral collateral ligament (LCL) rupture with different autograft options. The advantages of percutaneous LCL reconstruction include small incisions, minimal soft tissue disruption, less postoperative pain, and speedy rehabilitation and recovery. The aim of this study was to report the functional outcome of percutaneous LCL reconstruction and overall patient satisfaction in Africans.
Methods
This prospective and interventional study involving 51 patients with chronic LCL rupture who had percutaneous LCL reconstruction using peroneus longus autograft was conducted between January 2021 and December 2022 in National Orthopaedic Hospital, Dala-Kano, Nigeria. The inclusion criteria were patients between the ages of 18 and 45 years with chronic isolated LCL and not more than 1 injury of knee ligament. Exclusion criteria were active infection, and multi-ligament knee injury requiring 2-staged surgery. The knee functions were assessed preoperatively, 3 months, 6 months, and 12 months postoperatively using the Lysholm scoring system. Patient satisfaction with the outcome of the treatment was assessed using a 5-point Likert scale. Relevant information was recorded into Microsoft Excel sheet and data was analyzed using SPSS version 23.0 for windows. The paired samples t-test was used to compare the clinical outcomes as continuous variables. Statistical significance was considered at p < 0.05.
Results
The mean age of the patients was (30.10 ± 5.90) years. The median time from injury to surgery was 7 months (ranging from 3 to 28 months). The mean follow-up period was (14.07 ± 3.13) months. The mean preoperative and 1-year postoperative Lysholm scores were 44.33 ± 12.97 and 97.96 ± 1.23, respectively.
Conclusion
Percutaneous LCL reconstruction using peroneus longus autograft significantly improves patient knee function and results in excellent patient satisfaction.
期刊介绍：
Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.
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