Document Detail


Single versus two-incision arthroscopic anterior cruciate ligament reconstruction.
MedLine Citation:
PMID:  8864005     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to compare single (endoscopic) versus two-incision arthroscopic anterior cruciate ligament reconstruction using bone-patellar tendon-bone in a population of young athletes. All patients followed a similar postoperative rehabilitation program. The Lysholm knee score, the International Knee Documentation Committee Score, KT-1000 arthrometric measurements, Lachman tests, pivot shift tests, isokinetic and functional testing, and perioperative complications were used to compare the two techniques. Anteroposterior and lateral radiographs were also evaluated and compared. Group I comprised 51 patients who underwent two-incision arthroscopic ACL reconstruction. The average age was 19.8 years, with a range of 18 to 22. The average follow-up in this group was 31 months (range, 24 to 43 months). Group II, the endoscopic group, consisted of 31 patients with an average age of 19.4 years (range, 18 to 22). The average follow-up was 25 months (range, 24 to 31 months). There were no significant differences between the two groups using subjective, objective, and functional criteria. There did appear to be a trend toward a residual pivot glide in the endoscopic group, but this did not achieve statistical significance. Radiographic analysis demonstrated an increased incidence of screw divergence in the endoscopic group. Intraoperative complications were more common with the endoscopic method.
Authors:
R A Arciero; C R Scoville; R J Snyder; J M Uhorchak; D C Taylor; D J Huggard
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Publication Detail:
Type:  Comparative Study; Journal Article    
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:  12     ISSN:  0749-8063     ISO Abbreviation:  Arthroscopy     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1997-01-13     Completed Date:  1997-01-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  462-9     Citation Subset:  IM    
Affiliation:
Orthopaedic Service, Keller Army Community Hospital, West Point, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anterior Cruciate Ligament / injuries*,  surgery*
Arthroscopy / methods
Athletic Injuries / rehabilitation,  surgery*
Bone Screws
Bone Transplantation*
Case-Control Studies
Female
Follow-Up Studies
Humans
Knee Injuries / rehabilitation,  surgery*
Male
Tendons / transplantation*
Time Factors

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


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