CHINESE JOURNAL OF MEDICINAL GUIDE >
The Clinical Effect of Arthroscopic All-Inside
Reconstruction of Anterior Cruciate Ligament Injury at Different Stages
Received date: 2025-02-21
Revised date: 2025-11-25
Accepted date: 2026-03-18
Online published: 2026-03-19
Objective： To compare the clinical effect of anterior cruciate ligament all-inside reconstruction in patients with acute anterior cruciate ligament injury by using autologous tendon under knee arthroscopy and choosing different surgical timings.Methods： This study retrospectively analyzed the clinical data of 67 patients with acute anterior cruciate ligament injury admitted to the People's Hospital of Danyang from September 2021 to June 2023. All of these patients underwent arthroscopic anterior cruciate ligament all-inside reconstruction and were divided into the early group （35 cases， within 28 d from injury to surgery） and the late group （32 cases， the time from injury to surgery ≥28 d） according to different surgical timings. The patients all used autologous semitendinosus muscle and gracilis muscle braid as anterior cruciate ligament substitutes， and were followed up for 6 months after the operation. The range of motion of the knee joint， stability of the knee joint before and after the operation and surgical complications of the two groups of patients were compared. Evaluation criteria： Lysholm knee score （LKSS）， the international knee documentation committee knee evaluation form （IKDC）， knee extension range of motion （ROM） and visual analogue score （VAS） for pain.Results： Before the operation， there were no statistically significant differences in IKDC， LKSS， and the VAS score for pain between the two groups （P > 0.05）. 6 months after operation， compared with the late group， the above scores of the early group were significantly higher （P < 0.05）. There was no statistically significant difference in the range of motion of the knee joint between the two groups before the operation （P > 0.05）. 6 months after the operation， the range of motion of the knee joint in the early group was significantly greater than that in the late group （P < 0.05）. There was no statistically significant difference in the VAS score for pain between the two groups before the operation （P > 0.05）. 6 months after the operation， compared with the late group， the pain score of the early group was significantly lower （P < 0.05）.Conclusion： Use arthroscopic all-inside reconstruction of anterior cruciate ligament with autologous tendon， early surgery （≤ 28 days） is more conducive to the improvement of postoperative knee joint mobility and stability， is more conducive to the recovery of lower limb function and can obtain better clinical efficacy.
MAO Huajie, WANG Yongxiang
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The Clinical Effect of Arthroscopic All-Inside
Reconstruction of Anterior Cruciate Ligament Injury at Different Stages
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