Partial ACL reconstruction with preservation of the posterolateral bundle

Autor: Patrick Djian, Elvire Servien, Christophe Hulet, J C Panisset, T. Cucurulo, J.-F. Potel, Philippe Colombet, Christophe Trojani, Bertrand Sonnery-Cottet, N. Graveleau, Nicolas Pujol
Rok vydání: 2012
Předmět:
Zdroj: Orthopaedics & Traumatology: Surgery & Research. 98:S165-S170
ISSN: 1877-0568
DOI: 10.1016/j.otsr.2012.10.001
Popis: SummaryIntroductionOver the past decade, our understanding of the anterior cruciate ligament (ACL) has evolved considerably. Based on this knowledge, ACL reconstruction techniques have changed and selective reconstruction procedures have been developed for partial tears. Our hypothesis was that stability and function can be restored to the knee with selective bundle reconstruction of partial ACL tears and preservation of the residual fibers.Materials and methodsThis was a multicenter retrospective study of 168 partial reconstructions of the anteromedial (AM) bundle of the ACL with preservation of the posterolateral (PL) bundle. All patients underwent a clinical evaluation based on the objective and subjective IKDC scores and the Lysholm score after a mean follow-up of 26months (12–59months). Preoperative and postoperative instrumental measurement of knee laxity was performed by arthrometer and/or by (Telos®) stress radiography. Statistical analysis and comparison was performed between pre- and postoperative results.ResultsThe preoperative and postoperative subjective IKDC scores were 63.7 and 90.5 at the final follow-up respectively (P
Databáze: OpenAIRE