| Outcome and risk factors after anterior cruciate ligament reconstruction: a follow-up study of 948 patients. | |
| | |
MedLine Citation:
|
PMID: 16084293 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: The aim of the study was to assess the outcome and risk factors after anterior cruciate ligament (ACL) reconstruction in a large group of patients. TYPE OF STUDY: Case series. METHODS: Included in this retrospective study were 948 patients (323 female, 625 male) with a symptomatic unilateral ACL rupture, who underwent arthroscopic reconstruction using patellar tendon autograft and interference screw fixation at 3 Swedish hospitals. The median age of the patients at the time of the index operation was 26 years (range, 14 to 53 years). The patients underwent surgery at a median of 12 months (range, 0.5 to 360 months) after their injury. Independent physiotherapists performed the follow-up examinations at a median of 32 months (range, 21 to 117 months) postoperatively. RESULTS: Of the 948 patients, 550 (58%) underwent meniscal surgery before, during, or after the ACL reconstruction. The median Tegner activity level was 8 (range, 2-10) before injury, 3 (range, 0-9) preoperatively, and 6 (range, 1-10) at follow-up (P < .0001 preoperative v follow-up). At follow-up, the median Lysholm score was 90 points (range, 14-100), the median KT-1000 anterior side-to-side laxity difference was 1.5 mm (range, -6 to 13 mm), and the median 1-leg hop test quotient was 95% (0% to 167%) compared with the contralateral normal side. At follow-up, 69.3% of the patients were classified as normal or nearly normal according to the International Knee Documentation Committee evaluation system. However, 36% of the patients were unable to or had severe problems performing the knee-walking test. Inferior results correlated with increased time period between the index injury and reconstruction and concomitant joint damage found at the index operation. CONCLUSIONS: Overall, the results were good after ACL reconstruction using patellar tendon autograft and interference screw fixation. Concomitant joint damage and a long time period between the injury and reconstruction are major risk factors for inferior outcome after ACL reconstruction. LEVEL OF EVIDENCE: Level IV, case series. |
| | |
Authors:
|
Gauti Laxdal; Jüri Kartus; Lars Ejerhed; Ninni Sernert; Lennart Magnusson; Eva Faxén; Jon Karlsson |
Related Documents
:
|
6826593 - Treatment of knee joint instability secondary to rupture of the posterior cruciate liga... 7731203 - Biomechanical analysis of the pharyngeal swallow in postsurgical patients with anterior... 18054613 - Multivariate analysis of risk factors of hematoma expansion in spontaneous intracerebra... |
Publication Detail:
|
Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association Volume: 21 ISSN: 1526-3231 ISO Abbreviation: Arthroscopy Publication Date: 2005 Aug |
Date Detail:
|
Created Date: 2005-08-08 Completed Date: 2006-03-20 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8506498 Medline TA: Arthroscopy Country: United States |
Other Details:
|
Languages: eng Pagination: 958-64 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedics, Sahlgrenska University Hospital , Göteborg, Sweden. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Anterior Cruciate Ligament / surgery* Arthroscopy* Bone Screws Cohort Studies Female Femoral Fractures / epidemiology, surgery Femur / surgery, transplantation* Follow-Up Studies Humans Knee Injuries / epidemiology Male Middle Aged Patellar Ligament / injuries, transplantation* Recurrence Retrospective Studies Risk Factors Rupture / epidemiology, surgery Severity of Illness Index Tendons / surgery, transplantation* Tibia / surgery, transplantation* Tibial Fractures / epidemiology, surgery Time Factors Transplantation, Autologous Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Incidence and risk factors for graft rupture and contralateral rupture after anterior cruciate ligam...
Next Document: Posterior cruciate ligament reconstruction: double-loop hamstring tendon autograft versus Achilles t...