Tripled semitendinosus anterior cruciate ligament reconstruction with Endobutton fixation: A 2-3-year follow-up study of 35 patients
| Autor: | Andreas Krüger, Hans Jürgen Refior, A. Veihelmann, A. Baur, S. Zysk |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Anterior cruciate ligament reconstruction medicine.medical_treatment Anterior cruciate ligament Bone Screws Lachman test Severity of Illness Index Tendons Arthroscopy Fixation (surgical) Activities of Daily Living medicine Humans Orthopedics and Sports Medicine Femur Anterior Cruciate Ligament Range of Motion Articular Polyethylene Terephthalates business.industry Anterior Cruciate Ligament Injuries Follow up studies Middle Aged musculoskeletal system Tendon Surgery Radiography Treatment Outcome medicine.anatomical_structure Acute Disease Chronic Disease Orthopedic surgery Female business Follow-Up Studies |
| Zdroj: | Acta Orthopaedica Scandinavica. 71:381-386 |
| ISSN: | 0001-6470 |
| Popis: | We evaluated the clinical outcome of tripled semitendinosus tendon ACL reconstruction with femoral Endobutton (Acufex, SmithNephew, Andover, MA) and tibial Suture Washer (Acufex, SmithNephew, Andover, MA) (n 29) or post screw fixation (n 6) in 35 patients on an average of 28 (20-37) months after surgery. On the basis of IKDC criteria, 22 patients showed a normal or nearly normal knee function and 25 patients had a KT 1000 maximal manual side-to-side difference ofor =5 mm at follow-up. Subjectively, 28 patients graded their knee function as normal or nearly normal. The average Lysholm score was 88 points, average OAK score 90 points and average modified HSS score 93 points. 19 patients reached their preinjury level of activity at follow-up. The postoperative Lachman test wasor =1+ in 24 patients and 24 patients also showed an absent pivot shift. Significant bone tunnel enlargement occurred in 26 patients on the femoral side and in 23 patients on the tibial side. We found no correlation between bone tunnel enlargement and clinical outcome. The clinical outcome of tripled semitendinosus tendon ACL reconstruction with Endobutton fixation on the femoral side was not entirely satisfactory. The procedure was associated with a high incidence of bone tunnel enlargement in this series. |
| Databáze: | OpenAIRE |
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