Second-Look Arthroscopy after ACL Reconstruction: Comparison of Patellar Tendon Autografts with Hamstring Tendon Autografts / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 159-164, 2003.
Article
in Korean
| WPRIM
| ID: wpr-654979
ABSTRACT
PURPOSE:
To evaluate the healing status of reconstructed anterior cruciate ligament (ACL) and meniscal repair through second-look arthroscopy after arthroscopic reconstruction of the ACL. MATERIALS ANDMETHODS:
We analyzed 81 cases by second-look arthroscopy among 397 cases that received ACL reconstruction during the period from June 1996 to December 2000. Second-look arthroscopy was conducted on average 18.8 months after reconstruction. 53 cases received a patellar tendon autograft, 28 cases received a hamstring tendon autograft and 29 cases received meniscal repair. We measured graft tension using displacement by probing, and synovial coverage by visual analysis at second-look arthroscopy. The improvements in Lysholm knee scores and KT-2000 arthrometer results were evaluated to compare patellar and hamstring tendons.RESULTS:
The patellar tendon group showed normal tension in 41 cases and lax tension in 12 cases. The hamstring tendon group showed normal tension in 22 cases and lax tension in 6 cases. In the patellar tendon group, synovial coverage was good in 38 cases, half in 4 cases, and pale in 11 cases, whereas the hamstring tendon group was good in 25 cases, half in 2 cases, and pale in 1 case. Synovial coverage was better in the hamstring tendon group (p<0.05). Although there was no statistical significance, the hamstring tendon group was superior to the patellar tendon group in terms of graft tension, Lysholm knee scores and KT-2000 arthrometer results.CONCLUSION:
The hamstring tendon group with ACL reconstruction was superior to the patellar tendon group, but long term follow-up will be necessary to further evaluate results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroscopy
/
Tendons
/
Follow-Up Studies
/
Anterior Cruciate Ligament
/
Patellar Ligament
/
Transplants
/
Anterior Cruciate Ligament Reconstruction
/
Autografts
/
Knee
Type of study:
Observational study
/
Prognostic study
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2003
Type:
Article
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