Functional and mri results after a 7.5 years follow-up of 35 single-stage ACL and PCL reconstructions using gracilis and semitendinosus tendon grafts and lars artificial ligament
| Autor: | Merle du Bourg, Valentin |
|---|---|
| Přispěvatelé: | Université Grenoble Alpes - UFR Médecine (UGA UFRM), Université Grenoble Alpes (UGA), Régis Pailhé |
| Jazyk: | francouzština |
| Rok vydání: | 2021 |
| Předmět: |
Ligament advanced reinforcement system (LARS)
Anterior cruciate ligament (ACL) Luxation de genou Autoplastie Ligament croisé postérieur (LCP) Imagerie par résonance magnétique (IRM) musculoskeletal system Knee dislocation Ligament croisé antérieur (LCA) Posterior cruciate ligament (PCL) Ligament prothétique Autogreffes Ligamentoplastie Droit interne demi-tendineux (DIDT) Magnetic resonance imaging (MRI) [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | Médecine humaine et pathologie. 2021 |
| Popis: | Purpose: The aim of this study was to evaluate the long-term functional and MRI results of patients who underwent bicruciate ligament reconstruction combining an ACL autograft with gracilis and semitendinosus tendon and double-bundle PCL reconstruction using the LARS artificial ligament. Methods: The outcomes-measures used were the Lysholm score, the Tegner activity level scale and the International Knee Documentation Committee form (IKDC 2000). KT-1000 was used to assess the clinical knee laxity. Radiographs and Magnetic Resonance Imaging (MRI) were used to evaluate osteoarthritis, the continuity and integrity of ACL autograft and LARS. Results: This retrospective study examined 35 patients who underwent single-stage bicruciate ligament reconstruction between May 2005 and January 2017 with a follow-up period ranging from 3 years to 15 years (a mean of 7.5 years). The mean Lysholm score was 74, mean IKDC 2000 was 71. There was a statistically significant difference with a higher Lysholm score (78.9) in early versus delayed surgical intervention (p=0.023). Using the Kellgren Lawrence osteoarthritis classification system, radiographic findings showed stage II or III in 83% of sample population. The MRI results revealed a rupture rate of 22% of the anterior autografted ligament and 28% of the posterior LARS artificial ligament. However, there were no long-term artificial ligament-induced complications. There was no correlation between artificial ligament rupture and poor functional results (Lysholm |
| Databáze: | OpenAIRE |
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