Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty

Background. Currently, work continues to improve the methods of arthroscopic reconstruction of the anterior cruciate ligament with an autograft, aimed at reducing the risk of postoperative failure.Aim of the study. To assess the immediate results of using a new method of preparing an autograft for a...

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Autores principales:	S. N. Leonova, V. V. Monastyrev, N. S. Ponomarenko
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	anterior cruciate ligament method for preparing an autograft arthroplasty Science Q
Acceso en línea:	https://doaj.org/article/e63c3e72c9094bdd956c5f958adf4385
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spelling	oai:doaj.org-article:e63c3e72c9094bdd956c5f958adf43852021-11-23T06:14:45ZUsing a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty2541-94202587-959610.29413/ABS.2020-5.6.29https://doaj.org/article/e63c3e72c9094bdd956c5f958adf43852021-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2520https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. Currently, work continues to improve the methods of arthroscopic reconstruction of the anterior cruciate ligament with an autograft, aimed at reducing the risk of postoperative failure.Aim of the study. To assess the immediate results of using a new method of preparing an autograft for anterior cruciate ligament plasty.Materials and methods. The analysis of the results of surgical treatment of 28 patients with old complete traumatic rupture of the anterior cruciate ligament, who were treated in the Department of traumatology and orthopedics of the Irkutsk Scientific Center of Surgery and Traumatology, was carried out. The patients were men aged 18 to 40 years. The common thing for all patients was the All-inside arthroscopic plasty of the anterior cruciate ligament. Two groups of patients were formed depending on the method of preparation of the autograft. The first group consisted of 18 patients in whom a well-known technique was used, including the formation of a four-bundle autograft from one tendon of the semitendinosus muscle. In 10 patients of the second group, a new method of preparing an autograft was used, including the stage of preliminary determination of the required length and thickness of the autograft, and the stage of forming an autograft from the tendon of the semitendinosus and gracilis muscles on the common tendon pedicle.Results. Comparative analysis of the immediate results of arthroscopic plasty of the anterior cruciate ligament with an autograft in case of its old complete traumatic injury revealed a significantly lower number of undesirable consequences when using a new method of preparing an autograft. In two cases, persistence of the pain syndrome associated with arthritic changes in the joint was observed, in one patient there was a restriction of movements in the knee joint, no synovitis, a sensation of instability of the knee joint, ruptures and detachments of the autograft were found. All patients were satisfied with the achieved result.Conclusion. A new method of preparing an autograft for plasty of the anterior cruciate ligament allows achieving anatomical reconstruction of the anterior cruciate ligament, optimal function of the knee joint, reducing pain, significantly reducing the risk of developing knee instability, ruptures and abruptions of the autograft in the postoperative period due to an individual approach, increasing the strength of the autograft and the strength of its fixation in the bone canals.S. N. LeonovaV. V. MonastyrevN. S. PonomarenkoScientific Сentre for Family Health and Human Reproduction Problemsarticleanterior cruciate ligamentmethod for preparing an autograftarthroplastyScienceQRUActa Biomedica Scientifica, Vol 5, Iss 6, Pp 230-234 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	anterior cruciate ligament method for preparing an autograft arthroplasty Science Q
spellingShingle	anterior cruciate ligament method for preparing an autograft arthroplasty Science Q S. N. Leonova V. V. Monastyrev N. S. Ponomarenko Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty
description	Background. Currently, work continues to improve the methods of arthroscopic reconstruction of the anterior cruciate ligament with an autograft, aimed at reducing the risk of postoperative failure.Aim of the study. To assess the immediate results of using a new method of preparing an autograft for anterior cruciate ligament plasty.Materials and methods. The analysis of the results of surgical treatment of 28 patients with old complete traumatic rupture of the anterior cruciate ligament, who were treated in the Department of traumatology and orthopedics of the Irkutsk Scientific Center of Surgery and Traumatology, was carried out. The patients were men aged 18 to 40 years. The common thing for all patients was the All-inside arthroscopic plasty of the anterior cruciate ligament. Two groups of patients were formed depending on the method of preparation of the autograft. The first group consisted of 18 patients in whom a well-known technique was used, including the formation of a four-bundle autograft from one tendon of the semitendinosus muscle. In 10 patients of the second group, a new method of preparing an autograft was used, including the stage of preliminary determination of the required length and thickness of the autograft, and the stage of forming an autograft from the tendon of the semitendinosus and gracilis muscles on the common tendon pedicle.Results. Comparative analysis of the immediate results of arthroscopic plasty of the anterior cruciate ligament with an autograft in case of its old complete traumatic injury revealed a significantly lower number of undesirable consequences when using a new method of preparing an autograft. In two cases, persistence of the pain syndrome associated with arthritic changes in the joint was observed, in one patient there was a restriction of movements in the knee joint, no synovitis, a sensation of instability of the knee joint, ruptures and detachments of the autograft were found. All patients were satisfied with the achieved result.Conclusion. A new method of preparing an autograft for plasty of the anterior cruciate ligament allows achieving anatomical reconstruction of the anterior cruciate ligament, optimal function of the knee joint, reducing pain, significantly reducing the risk of developing knee instability, ruptures and abruptions of the autograft in the postoperative period due to an individual approach, increasing the strength of the autograft and the strength of its fixation in the bone canals.
format	article
author	S. N. Leonova V. V. Monastyrev N. S. Ponomarenko
author_facet	S. N. Leonova V. V. Monastyrev N. S. Ponomarenko
author_sort	S. N. Leonova
title	Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty
title_short	Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty
title_full	Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty
title_fullStr	Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty
title_full_unstemmed	Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty
title_sort	using a new method for preparing an autograft for anterior cruciate ligament plasty
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/e63c3e72c9094bdd956c5f958adf4385
work_keys_str_mv	AT snleonova usinganewmethodforpreparinganautograftforanteriorcruciateligamentplasty AT vvmonastyrev usinganewmethodforpreparinganautograftforanteriorcruciateligamentplasty AT nsponomarenko usinganewmethodforpreparinganautograftforanteriorcruciateligamentplasty
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Using a New Method for Preparing an Autograft for Anterior Cruciate Ligament Plasty

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