Evaluation of the effectiveness of arthroscopic repair of the anterior cruciate ligament in its proximal ruptures

The high frequency of unsatisfactory results of plastic surgery of the anterior cruciate ligament (ACL), as well as modern achievements in the field of anatomical and functional structure of the ligament and arthroscopic surgery have led to a revival of interest in the primary restoration of the structural integrity of the ACL.Objective of this work was to retrospectively evaluate the results of treatment of patients operated on for proximal tear ACL of the knee joint.Materials and methods. A retrospective analysis of the surgical treatment of 112 patients with knee joint instability on the background of proximal tear of the anterior cruciate ligament was carried out. Of these, 34 patients who underwent arthroscopic repair of the ACL made up the main observation group, and 78 patients who underwent arthroscopic reconstruction of the ACL using the tendon of the semitendinous muscle made up the comparison group. To analyze the results of treatment, the definition of the angle of flexion of the lower leg in the knee joint was used, and pain syndrome was assessed on the 100-point VAS scale and functional recovery on the IKDC and KOOS scales.Results. The angle of flexion of the lower leg in the knee joint was within normal values in patients of both groups and had no statistically significant differences (p > 0.05). At the same time, despite the fact that the average scores of patients in both groups according to the KOOS and IKDC scales were in the “excellent” rating range, in patients of the main group they were 2.1 and 2.8 points higher, respectively, which had a statistically significant difference (p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }