کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4078686 | 1267279 | 2006 | 6 صفحه PDF | دانلود رایگان |
AimTo evaluate the functional and radiological outcome of a bone–tendon–bone anterior cruciate ligament reconstruction, at long-term follow-up.MethodsA retrospective study of 148 patients, of which 103 were available for long-term follow-up. Complete functional and radiological evaluation (International Knee Documentation Committee scale) were performed in 89 out of the 103 patients [Anderson AF. Rating scales. In: Fu FH, Harner CD, Vince KG, (Eds.). Knee Surgery, Baltimore, Williams and Wilkins vol. 1, 1994; 12, pp. 275-296].ResultsThe mean follow-up time was 17.4 years. Subjectively, 88% of the patients were very satisfied or satisfied. According to the IKDC score 55% had type A symptoms, 29% type B, 12% type C, and 4% type D. The IKDC ligament evaluation showed 14.9% type A, 44.8% type B, 35.8% type C, and 4.5% type D. At the review 22.7% had a narrowing < 50% (C) and 4.7% a narrowing > 50% (D). Onset of osteoarthritis showed an association with the status of the medial meniscus. Knees with a preserved (healthy or sutured) medial meniscus had a significantly (p < 0.05) better radiological outcome. Among these, 9% had a joint space narrowing < 50% (C) and 2% had a narrowing > 50% (D). Medial meniscectomy, residual laxity, and femoral chondral defects were associated with osteoarthritis.ConclusionThe outcome of anterior cruciate ligament reconstruction plus extra-articular tenodesis is good in the very long term, particularly in knees with a preserved medial meniscus.
Journal: The Knee - Volume 13, Issue 5, October 2006, Pages 353–358