Document Detail


Isolated anterior cruciate ligament reconstruction in the chronic ACL-deficient knee with degenerative medial arthrosis.
MedLine Citation:
PMID:  17665784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Isolated anterior cruciate ligament (ACL) reconstruction may provide long-term symptom relief and improved function in patients with medial knee arthrosis and ACL-deficiency, while delaying or possibly eliminating the need for further surgical intervention. Fifty-three patients who had medial unicompartmental arthrosis and chronic ACL-deficient knees underwent ACL reconstruction alone. Subjective evaluation at mean 10 years postoperatively indicated statistically significant improvement compared to preoperative evaluation and better scores for patients who obtained normal knee range of motion. Objective evaluation, performed for 33 patients at a mean of 5.5 years postoperatively, indicated 25 normal or nearly normal International Knee Documentation Committee ratings; 2 patients have undergone subsequent osteotomy or total knee arthroplasty. Isolated ACL reconstruction provides long-term symptomatic pain relief, increased activity, and improved function. Anterior cruciate ligament reconstruction can effectively provide stability to the ACL-deficient knee with degenerative medial arthrosis without compromising range of motion or strength. Obtaining and maintaining full range of motion equal to the normal knee is important for the optimal result.
Authors:
K Donald Shelbourne; Rodney W Benner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of knee surgery     Volume:  20     ISSN:  1538-8506     ISO Abbreviation:  J Knee Surg     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137599     Medline TA:  J Knee Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  216-22     Citation Subset:  IM    
Affiliation:
Shelbourne Clinic at Methodist Hospital, Indianapolis, Ind, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anterior Cruciate Ligament / surgery*
Arthralgia / surgery
Chronic Disease
Follow-Up Studies
Humans
Joint Instability / surgery
Knee Joint / surgery*
Menisci, Tibial / surgery
Middle Aged
Osteoarthritis, Knee / etiology,  surgery*
Range of Motion, Articular
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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