Document Detail

One-stage bilateral anterior cruciate ligament reconstruction.
MedLine Citation:
PMID:  23212189     Owner:  NLM     Status:  Publisher    
PURPOSE: The ideal treatment for patients presenting with bilateral anterior cruciate ligament (ACL) deficiency remains controversial. The purpose was to evaluate cost and functional results after one-stage bilateral ACL reconstruction using either hamstring or patella tendon autograft. METHODS: This prospective comparative study was compared the mid-term outcome of 7 patients (14 knees) who had one-stage bilateral ACL reconstruction with that of a matched group of patients who had unilateral reconstruction (21 patients). RESULTS: The median length of hospital stay was 4 (3-5) nights for the bilateral group and 2 (1-4) nights for the control group. The duration of rehabilitation process in patients from control group with unilateral ACL reconstruction was one week shorter (9 vs 8 weeks). In the bilateral group, the median Lysholm score was 96 (85-100), and in the control group, the median score was 93 (81-100). The median time to return to full-time work and to full sports was 9 weeks and 7 months for the one-stage group and 8 weeks and 6 months for the unilateral group. Six patients (86 %) in the bilateral group and 17 patients (81 %) in the control group were still performing at their pre-injury level of activity. National Health Institution saved 2925 EUR when we performed one-stage bilateral reconstruction instead of two-stage ACL reconstruction. CONCLUSIONS: Mid-term clinical results suggested that one-stage bilateral ACL reconstruction using either hamstring or patella tendon autograft is clinically effective. For patients presenting bilateral ACL-deficient knees, one-stage bilateral ACL reconstruction is reproducible, cost effective and does not compromise functional results. LEVEL OF EVIDENCE: II.
Matjaz Sajovic; Saska Demsar; Romana Sajovic
Related Documents :
24475439 - Protective effect of selenium on cisplatin induced nephrotoxicity: a double-blind contr...
25282699 - Outcomes of reoperative open or endovascular interventions to treat patients with faili...
23591189 - Risk factors for acute kidney injury after radical nephrectomy and inferior vena cava t...
23470579 - Laryngeal physiology and voice acoustics are maintained after minimally invasive parath...
9808349 - Tactile, thermal and pain sensibility in burned patients with and without chronic pain ...
23208539 - Falls in independent ambulatory patients with spinal cord injury: incidence, associated...
10524579 - How much isoniazid is needed for prevention of tuberculosis among immunocompetent adults?
24113359 - Alternative procedures for the treatment of cervical spondylotic myelopathy: arthroplas...
14718809 - Multicenter pivotal trial results of the lifepath system for endovascular aortic aneury...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-5
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  -     ISSN:  1433-7347     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
General Teaching Hospital Celje, Celje, Slovenia,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Surgical management of irreparable rotator cuff tears.
Next Document:  Varicella-zoster virus meningo-rhombencephalitis presenting as Ramsey Hunt.