Comparison of Clinical Results According to Amount of Preserved Remnant in Arthroscopic ACL Reconstruction using Quadrupled Hamstring Graft / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 284-292, 2005.
Artigo
em Coreano
| WPRIM
| ID: wpr-654062
ABSTRACT
PURPOSE:
To analyze the clinical results in an ACL reconstruction according to the amount of the tibial remnant of the ACL using a hamstring graft and looped sutures. MATERIALS ANDMETHODS:
Sixteen patients who were followed up for at least 12 months after the ACL reconstruction with four strands of a hamstring tendon using a looped suture technique were enrolled in this study. The average follow-up was 35.1 months. At the last follow-up period, the patients were evaluated using the International Knee Documentation Committee (IKDC) scale and the HSS score, Lachman test, ant. drawer test, KT-1000, one-leg hoop test and proprioceptive function test (motion and position sense). They were then divided two groups according to whether they had more or less than 30% of the ACL remaining. The final results of the two groups were statistically compared.RESULTS:
Average HSS score improved from 65.8 (preoperative) to 95.2 (last follow-up). No significant differences in functional outcome and mechanical stability were found except for proprioception. Regarding the threshold of the detection of the passive motion test at 30 degrees (p=0.030) and the reproduction of the passive positioning test at 15 degrees (p=0.032) and 30 degrees (p=0.024), the more remnant preserved group (>30%) showed better results than the less preserved group.CONCLUSION:
Preserving the tibial remnant will preserve function of the mechanoreceptors and be helpful to the recovery of the function and healing of a graft after surgery.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Formigas
/
Propriocepção
/
Reprodução
/
Suturas
/
Tendões
/
Seguimentos
/
Técnicas de Sutura
/
Transplantes
/
Joelho
/
Mecanorreceptores
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Ano de publicação:
2005
Tipo de documento:
Artigo
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