Reconstruction of the anterior cruciate ligament
| Autor: | Junji Iwasa, Nobuo Adachi, Mitsuo Ochi, Yuji Uchio, Masakazu Kuriwaka, Yoshiaki Ito |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Joint Instability Male musculoskeletal diseases medicine.medical_specialty Adolescent Knee Joint Anterior cruciate ligament medicine.medical_treatment Knee Injuries Statistics Nonparametric Tendons Arthroscopy Double bundle medicine Humans Orthopedics and Sports Medicine Prospective Studies Anterior Cruciate Ligament Rupture Rehabilitation Proprioception business.industry Anterior Cruciate Ligament Injuries Middle Aged musculoskeletal system Tendon Surgery medicine.anatomical_structure Orthopedic surgery Ligament Female Hamstring Tendons business |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :515-520 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.86b4.14856 |
| Popis: | A total of 108 patients with unilateral instability of the knee, associated with rupture of the anterior cruciate ligament, was prospectively randomised for arthroscopic single- or double-bundle reconstruction of the ligament using hamstring tendons. The same postoperative rehabilitation protocol was used for all. The patients were followed up for a mean of 32 months (24 to 36). We measured the anterior laxity and joint position sense at different angles of flexion of the knee to determine whether both bundles in the double-bundle reconstruction contributed to the stability of the joint and proprioception. No significant difference was found between the two groups with regard to anterior laxity measured by the KT-2000 arthrometer with the knee at 20° or 70° flexion nor with regard to proprioception. A notchplasty was required less often in the double- compared with the single-bundle reconstruction. We did not find any advantage in a double-bundle as opposed to a single-bundle reconstruction in terms of stability or proprioception. |
| Databáze: | OpenAIRE |
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