Effect of different operation timing on knee arthroscopic treatment effect of anterior cruciate ligament with meniscus injury

WANG Lien; ZHAO Yanzhe; LIU Jian; SHI Xiaoyun

doi:10.13898/j.cnki.issn.1000-2200.2024.10.005

Journal of Bengbu Medical University > 2024 > 49(10): 1295-1299. > DOI: 10.13898/j.cnki.issn.1000-2200.2024.10.005

WANG Lien, ZHAO Yanzhe, LIU Jian, SHI Xiaoyun. Effect of different operation timing on knee arthroscopic treatment effect of anterior cruciate ligament with meniscus injury[J]. Journal of Bengbu Medical University, 2024, 49(10): 1295-1299. DOI: 10.13898/j.cnki.issn.1000-2200.2024.10.005

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Effect of different operation timing on knee arthroscopic treatment effect of anterior cruciate ligament with meniscus injury

1.
Department of Anesthesiology, Shijiazhuang People's Hospital, Shijiazhuang Hebei 050000
2.
Department of Hand and Foot Surgery, Shijiazhuang Third Hospital, Shjiazhuang Hebei 050000, China

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Received Date: March 22, 2023
Revised Date: August 28, 2024

Graphical Abstract

Abstract

Abstract

Objective
To analysis of the influence of different surgery timing on the knee arthroscopic treatment effect of anterior cruciate ligament (ACL) with meniscus injury.
Methods
The clinical data of 86 patients with ACL associated with meniscus injury who underwent arthroscopic knee surgery were retrospectively analyzed. According to the different timing of arthroscopic knee surgery, they were divided into the early group (41 cases, the time from injury to surgery ≤3 weeks) and the late group (45 cases, the time from injury to surgery >3 weeks). Six months after operation, the recovery of bone channel, knee joint function, pain degree, stability stress, SDF-1/CXCR4 pathway-related factors in knee joint fluid and complications were compared between the two groups.
Results
The signal intensity, bone marrow tract width and T2 value of tendon-bone junction in the early group were lower than those in the late group (P <0.01).The IKDC score, Lysholm score and knee joint range of the early group at six months after surgery were higher than those of the late group, and the VAS score was lower than that of the late group (P <0.01).In the early group, the distraction distance of the lateral compartment under stress, the posterior tibial distance under stress, and the dial-up tibial rotation angles of 30° and 90° of knee flexion were lower than those in the late group six months after surgery (P <0.01).The levels of SDF-1, CXCR4, MMP-3 and MMP-13 in knee joint fluid of the early group at six months after surgery were lower than those of the late group (P <0.01). The complication rate in the early group (4.88%) was lower than that in the late group (20.00%) (P <0.05).
Conclusions
Compared with late arthroscopic knee surgery, early arthroscopic knee surgery can accelerate the recovery of bone channels, improve knee joint function and range of motion, reduce pain, improve stability stress, inhibit the expression of SDF-1/CXCR4 signal pathway, and then reduce the incidence of complications such as cartilage injury.
- knee arthroscopy,
- anterior cruciate ligament,
- meniscus injury,
- surgery timing,
- stability stress,
- SDF-1/CXCR4 pathway

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References

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Effect of different operation timing on knee arthroscopic treatment effect of anterior cruciate ligament with meniscus injury

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