Concurrent arthroscopic bicruciate ligament reconstruction using Achilles tendon-bone allografts: experience with 15 cases / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 341-346, 2008.
Article
Dans Anglais
| WPRIM
| ID: wpr-239822
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the clinical outcome of arthroscopically assisted combined anterior and posterior cruciate ligament (ACL/PCL) reconstructions using Achilles tendon-bone allografts.</p><p><b>METHODS</b>Associated meniscus injuries were treated according to established methods prior to ligament reconstructions during arthroscopic surgery. Thirty Achilles tendon-bone allografts were used to reconstruct torn ACL and PCL in 15 knees. At postoperative follow-up, all knees were graded using the modified IKDC and the Lysholm scoring systems just as done preoperatively.</p><p><b>RESULTS</b>were analyzed compared with the contralateral healthy knees. Results:
Eleven men and 4 women with a minimum of 3-year follow-up (mean 38 months) were included in the study. Preoperatively, the group ratings by the modified IKDC standards were all severely abnormal. Twelve bicruciate reconstructions were performed in subacute or chronic stage (larger than 3-8 weeks), 3 for acute ligamentous deficiencies (less than or equal to 3 weeks). The noticeable early complication was transitory local fever combined with joint effusion in one case. At postoperative follow-up, 9 knees were normal, 5 nearly normal and 1 abnormal. On Lysholm score the difference was statistically significant (t- test, P less than 0.001) before and after operation.</p><p><b>CONCLUSIONS</b>Achilles tendon-bone allograft offers an alternative for simultaneous arthroscopic ACL/PCL reconstructions. However, further investigation is needed to eradicate its potential immunogenicity for better use.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Arthroscopie
/
Tendon calcanéen
/
Chirurgie générale
/
Transplantation
/
Transplantation homologue
/
Ligament croisé antérieur
/
Ligament croisé postérieur
/
Amplitude articulaire
/
Transplantation osseuse
/
Type d'étude:
Guide de pratique
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Chinese Journal of Traumatology
Année:
2008
Type:
Article
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