EVALUATION OF THE RESULTS OF LAPAROSCOPIC SURGERY FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION OF THE KNEE THROUGH TRANSFIX TECHNIQUE

Thanh Tung Le1,, Van Chinh Do1, Van Thuy Tran1
1 Vietnam Sports Hospital

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Abstract

Background: Currently, in Vietnam, Vietnam Sports Hospital is the only hospital that appliesthe “transfix” technique in curing Anterior Cruciate Ligament. However, there had never been any topic analyzing this technique's positive and negative effects. Objectives: 1). To judge therecovery result of laparoscopic surgery for the Anterior Cruciate Ligament with the “transfix” technique; 2). To observe the positive and negative sides of this technique in recovering Anterior Cruciate Ligament. Materials and methods: A cross-sectional description and vertical tracking method was conducted on 401 patients who had been through laparoscopic surgery for the Anterior Cruciate Ligament with the “transfix” technique in Vietnam Sports Hospital. Results: 12 months after surgery, 92.8% of patients had the negative sign in Anterior Drawer test and 4.7% of patients had level I positive sign in the same test. The average Lysholm mark was 92.91 ± 4.98. Negative Lachman sign taked up to 93.8% of patients, positive level. I taked 4% and positive Lachman sign level II taked 2.2%. According to IKDC, there were 93% in type A and 4.5% in type B. Conclusion: The knee functions of patients who had laparoscopic surgery for the Anterior Cruciate Ligament with the “transfix” technique rated on Lysholm and IKDC scoring system 12 months after surgery achievedan excellent result. The “transfix” technique has an outstanding result in fixing the Alignment into the “transfix” tunnel in comparison with other methods. The screws are capable of chemically transferring into a form that is similar to bones, therefore they hold up excellently proven by actual experiments made by Ari Digiácomo Ocampo Moré.

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References

1. Đặng Hoàng Anh, Trần Đình Chiến, Phạm Đăng Ninh, Vũ Nhất Định, Nguyễn Bá Ngọc, Đỗ Đức Bình (2010), “Kết quả phẫu thuật nội soi tái tạo dây chằng chéo trước tại bệnh viện 103”, Y học Việt Nam tháng 10, (2), tr. 17-28.
2. Trần Trung Dũng (2014) "Tạo hình dây chằng chéo trước khớp gối qua nội soi" Nhà xuất bản Y học, tr 10-40, 41-90.
3. Vũ Nhất Định (2013) “Kết quả bước đầu nội soi tái tạo dây chằng chéo trước dạng hai bó ba đường hầm” Tạp trí Y-Dược học quân sự tập 38, số 6 ,tr 121-127. 2013, Tạp chí chấn thương chỉnh hình số đặc biệt, pp. tr. 144 - 149.
4. Trần Hoàng Tùng (2018) “Nghiên cứu ứng dụng phẫu thuật nội soi tái tạo hai bó dây chằng chéo trươc sử dụng gân bánh chè đồng loại” Luận án tiến sỹ y học. tr 9, 21-55, 60...
5. Ari Digiácomo Ocampo Moré (2016)"Biomechanical performance of Bio Cross-Pin and EndoButtonfor ACL reconstruction at femoral side: a porcinemodel"Indial Juanual Trauma Octopadict. pp. 1-55.
6. Brian P. Scannell (2015). "Biomechanical Comparison of Hamstring Tendon Fixation Devices for Anterior Cruciate Ligament Reconstruction: Part 2. Four Tibial Devices". s.l.: The American Journal of Orthopedics, p. 83.
7. Delaunoy, Ingrid (2004) "Sonography detection threshold for knee effusion". Clinical Rheumatology 22(6): pp. 391-415.
8. Kyle P. Lavery, M.D., Jeffrey F. Rasmussen, M.D., and Aman Dhawan, M.D (2104)” FiveStrand Hamstring Autograft for Anterior Cruciate Ligament Reconstruction” Arthroscopy Techniques, Vol 3: pp. e423-e426.
9. Rafael Calvo (2017) “Five-Strand Hamstring Autograft Versus Quadruple Hamstring Autograft With Graft Diameters 8.0 Millimeters or More in Anterior Cruciate Ligament Reconstruction” The Journal of Arthroscopic and Related Surgery, Vol 33, No 5: pp.
10. Streich N.A et al. (2008). "Reconstruction of the ACL with a 1 semitendinosus tendon graft: a prospective randomized single blinded comparison of double-bundle versus single-bundle technique in male athletes". Knee Surg Sports Traumatol Arthrosc, 16(3), pp. 232-237