Mid-Term Outcomes of Anterior Cruciate Ligament Reconstruction with Far Anteromedial Portal Technique
| Autor: | Sungwook Choi, Myung Ku Kim, Ju Hyun Park, Jae Sik Yoon, Jung Sub Shin, Yoon Sang Jeon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
030222 orthopedics
Anterior cruciate ligament reconstruction business.industry medicine.medical_treatment Anterior cruciate ligament Significant difference 030229 sport sciences Pivot-shift test Lachman test Mid-term outcome 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Orthopedics and Sports Medicine Surgery Original Article Knee Reconstruction business Rotational stability Nuclear medicine |
| Zdroj: | Knee Surgery & Related Research |
| ISSN: | 2234-2451 2234-0726 |
| Popis: | Purpose: The purpose of this study was to evaluate the mid-term outcomes of anatomic anterior cruciate ligament (ACL) reconstruction using two anteromedial (AM) portals by comparing with short-term follow-up results. Materials and Methods: Fifty patients who were treated by ACL reconstruction using a two AM portal technique were evaluated retrospectively. The follow-up period was at least 5 years. The mean follow-up period was 68.5±13.9 months. The mid-term clinical outcomes were compared with short-term (≥12 months) results. For the assessment of knee stability, anterior tibial translation was evaluated using the Lachman test and the KT- 2000. Rotational stability was evaluated using pivot shift test. For clinical assessment, the Lysholm and International Knee Documentation Committee scores were used. Results: The average anterior translation was 2.1±1.4 mm at the short-term follow-up and 2.8±1.8 mm at the mid-term follow-up. Stability and midterm clinical outcomes were not significantly improved compared to the short-term follow-up results. At the mid-term follow-up, anteroposterior (AP) instability assessed by the KT-2000 was slightly increased, but still acceptable. On the other clinical physical evaluation, there was no statistically significant difference. Conclusions: The short-term and mid-term outcomes of ACL reconstruction using the two AM portal technique were not significantly different except for AP stability although the value was less than 3 mm at both follow-ups. Therefore, this operative technique could be considered a satisfactory alternative for ACL reconstruction. |
| Databáze: | OpenAIRE |
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