Single-stage revision anterior cruciate ligament reconstruction using bone grafting for posterior or widening tibial tunnels restores stability of the knee and improves clinical outcomes
| Autor: | Jason L. Dragoo, Michael M. Kalisvaart, Kevin M. Smith, Ray Golish, George D. Pappas |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Joint Instability Male Reoperation medicine.medical_specialty Anterior cruciate ligament reconstruction Adolescent Knee Joint Anterior cruciate ligament medicine.medical_treatment Bone grafting 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Interquartile range medicine Humans Orthopedics and Sports Medicine Tibia 030222 orthopedics Bone Transplantation Anterior Cruciate Ligament Reconstruction business.industry Anterior Cruciate Ligament Injuries 030229 sport sciences Pain scale Middle Aged Surgery Knee pain medicine.anatomical_structure Orthopedic surgery Female medicine.symptom business |
| Zdroj: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 27(11) |
| ISSN: | 1433-7347 |
| Popis: | Revision ACL surgery may be complicated by tunnel malposition and/or tunnel widening and often requires a staged treatment approach that includes bone grafting, a period of several months to allow bone graft incorporation and then definitive revision ACL reconstruction. The purpose of this study was to evaluate the results of a single-staged ACL revision reconstruction technique using a cylindrical dowel bone graft for patients who have existing posteriorly placed and/or widened tibial tunnels in the tibia at a minimum of 2 years follow-up. Between 2010 and 2014, patients undergoing single-stage revision ACL reconstruction with the described technique were prospectively enrolled and evaluated. At a minimum of 24 months, patients were evaluated by physical examination, multiple clinical outcome instruments including KOOS, Tegner and Lysholm, and preoperative and postoperative MRIs. At a mean of 35.1 months, 18 consecutive patients had no revision surgery and no subjective knee instability. There were statistically significant improvements in the Tegner (median 2, interquartile range 2.25; p |
| Databáze: | OpenAIRE |
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