The Influence of Anterior Cruciate Ligament Remnant on Postoperative Clinical Results in Patients with Remnant Preserving Anterior Cruciate Ligament Reconstruction.
Autor: | Andonovski A; University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia., Topuzovska S; Institute of Medical and Experimental Biochemistry, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia., Samardziski M; University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia., Bozinovski Z; University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia., Andonovska B; University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia., Temelkovski Z; University Clinic for Orthopedic Surgery, Traumatology, Anesthesiology and Intensive Care, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia. |
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Jazyk: | angličtina |
Zdroj: | Open access Macedonian journal of medical sciences [Open Access Maced J Med Sci] 2017 Jul 20; Vol. 5 (5), pp. 624-629. Date of Electronic Publication: 2017 Jul 20 (Print Publication: 2017). |
DOI: | 10.3889/oamjms.2017.096 |
Abstrakt: | Background: Anterior Cruciate Ligament (ACL) remnants have important biomechanical, vascular and proprioceptive function. Aim: To determine the influence of the ACL residual remnants after partial and complete ACL ruptures on postoperative clinical results in patients with remnant preserving ACL reconstruction. Patients and Methods: The study included 66 patients divided into two groups. In patients from the investigation group remnant preserving ACL reconstruction was performed, in patients from the control group single bundle ACL reconstruction was performed. The results were assessed by Rolimeter measurements, Lysholm and Tegner scores and proprioception evaluation. Results: The mean side-to-side difference of anterior tibia displacement (mm) was improved from 4.4 ± 1.06 to 0.4 ± 0.7 in the investigation group , and from 4.6 ± 0.68 to 1.9 ± 0.64 in the control group (p < 0.001). Difference in the angles in which the knee was placed by the device and the patient has improved from 1.5 ± 0.96° to 0.5 ± 0.53° in the investigation group and from 1.8 ± 0.78° to 1.3 ± 0.97° in the control group (p < 0.05). Tegner and Lysholm scores showed no difference between the groups. Conclusion: Preservation of the ACL residual bundle provides a better knee stability and proprioceptive function. |
Databáze: | MEDLINE |
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