Reconstruction of the Anterior Cruciate Ligament in Patients Who Are at Least Forty Years Old

Plancher, Kevin D.; Steadman, J. Richard; Hutton, Kirk S.

doi:10.2106/00004623-199802000-00005

Cited by 89 publications

(74 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8,9 Autograft material is usually taken from the patellar tendon, hamstring tendon and quadriceps tendon. 10,11 Even though the use of the bone-patellar tendon-bone autograft is considered the gold standard for ACL reconstruction by some surgeons, the quadriceps has many disadvantages such as weakness in muscle strength, loss of full extension and anterior knee pain in the postoperative period. 12,13 In a reconstruction with hamstring tendons, the preservation of the extensor mechanism prevents atrophy of the quadriceps muscle, and problems such as postoperative knee pain and extension deficit are rarely encountered.…”

Section: Discussionmentioning

confidence: 99%

Clinical comparison of cross-pin and EndoButton for fixation of hamstring grafts

Bulut

Gürger²

2012

J Clin Exp Invest

View full text Add to dashboard Cite

ÖZETAmaç: Hamstring tendonları kullanılarak yapılan ön çap-raz bağ (ÖÇB) rekonstrüksiyonlarında EndoButton ve cross-pin femoral tespit yöntemlerinin klinik sonuçlarının karşılaştırılması. Hastalar ve yöntem:Kliniğimizde Ocak 2006 -Aralık 2009 tarihleri arasında ÖÇB rüptürü nedeniyle opere edilen hastalar geriye dönük olarak incelendi. Hastaların 50 tanesine cross-pin, 50 tanesine ise EndoButton yöntemi kullanılarak, otojen hamstring tendon grefti ile artroskopik ön çapraz bağ rekonstrüksiyonu yapılmıştı. Her iki grupta hastaların ameliyat öncesi ve sonrası klinik değerlendir-mesi uluslararası diz dökümantasyon sistemi (IKDC) ve Lysholm II skorlama sistemine göre yapıldı. Sonuçlar:Ameliyat sonrası cross-pin grubunda IKDC skorlama sistemine göre hastaların, %52'sinde A, %40'ında B, %8'inde C skoru bulundu. EndoButton grubunda hastaların %48'inde A, %42'sinde B, %10'unda C skoru bulundu. Ameliyat sonrası cross-pin grubunda Lysholm II skorlama sistemine göre hastaların %48'inde mükemmel, %44'ünde iyi ve %8'inde orta sonuç bulundu. EndoButton grubunda hastaların %50'sinde mükemmel, %44'ünde iyi, %6'sında orta sonuç bulundu. Gruplar arasında ek hastalık, IKDC ve Lysholm II skorları ve komplikasyonlar açısından fark yoktu. EndoButton grubunda ortalama ameliyat süresi daha kısaydı. Sonuç:Her iki femoral tespit tekniğinin, klinik sonuçları arasında istatistiksel olarak anlamlı fark bulunmadı. Ameliyat süresinin daha kısa, öğrenme eğrisinin daha kolay oluşu ÖÇB rekonstrüksiyonunda EndoButton tekniğinin avantajlarıdır.Anahtar kelimeler: Ön çapraz bağ, hamstring tendon grefti, femoral tespit ABSTRACT Objectives: A comparison of the clinical outcomes of EndoButton and cross-pin femoral fixation techniques in anterior cruciate ligament (ACL) reconstruction using hamstring tendons. Materials and methods:In our clinic, between January 2006 and December 2009 patients who underwent surgery due to ACL rupture were retrospectively reviewed. Of the patients, 50 underwent arthroscopic anterior cruciate ligament reconstruction with an autogenous hamstring tendon graft using the cross-pin technique, and the remaining 50 patients underwent arthroscopic anterior cruciate ligament reconstruction with the EndoButton technique. Preoperative and postoperative clinical evaluation of the patients in both groups was performed according to the International Knee Documentation Committee (IKDC) and Lysholm II knee scoring systems. Results:In the cross-pin group, 52% of the patients had IKDC scores of A, 40% B and 8% C in the last control. In the EndoButton group, 48% of the patients had IKDC scores of A, 42% B and 10% C. Postoperatively, 48% of the patients in the cross-pin group had excellent, 44% good and 8% fair Lysholm scores. Fifty percent of the patients in the EndoButton group had excellent, 44% good and 6% fair Lysholm scores. There was no difference between the groups in additional diseases, IKDC and Lysholm scores and complications. The mean operative time was shorter in the EndoButton group. Conclusions

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical comparison of cross-pin and EndoButton for fixation of hamstring grafts

Bulut

Gürger²

2012

J Clin Exp Invest

View full text Add to dashboard Cite

show abstract

“…Heier et al [19] and Plancher et al [20] have both published the successful use of BTB autograft in patients over the age of 40. Recent studies have also reported the effective use of hamstring autograft in older patients [21].…”

Section: Discussionmentioning

confidence: 99%

Proximal Tibia Fracture after Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft: A Case Report

et al. 2008

View full text Add to dashboard Cite

The optimal operative management of anterior cruciate ligament (ACL) injury continues to be debated. Many complications can occur, but fracture is often not routinely discussed. We present a complex intra-articular tibia fracture in a patient who had an autologous, ipsilateral bone-patellar-bone ACL reconstruction. While still advocating early, aggressive physical therapy, this case reminds us of the inherent susceptibility to injury in the immediate post-operative period.

show abstract

“…64,65 Historically, the incidence of clinically significant motion loss has been reported to be has high as 76.5%, but with improvement in surgical technique and modern rehabilitation protocols, this number has dropped to less than 4%. 69 Loss of extension is more poorly tolerated than loss of flexion and has a reported association with patellofemoral pain, quadriceps muscle weakness, and overall poor functional outcome. 64,76 Multiple etiologies can give rise to postoperative motion complications, including technical factors such as tunnel malposition (eg, anterior positioning of the femoral tunnel) and biologic factors such as formation of a "cyclops" lesion or an exaggerated inflammatory response leading to arthrofibrosis or infrapatellar contracture syndrome.…”

Section: Motion Lossmentioning

confidence: 99%

Rehabilitation After Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction

McCarty¹,

Bach²

2005

Techniques in Orthopaedics

View full text Add to dashboard Cite

Rehabilitation protocols after bone-patellar tendon-bone anterior cruciate ligament reconstruction have become significantly more aggressive over the past decade. Key concepts of an accelerated rehabilitation protocol include immediate full weight bearing, unrestricted range of motion, early closed kinetic exercises, and return to play by 4 months. Additional components of a successful rehabilitation program include appropriate timing of surgery, adequate postoperative analgesia, use of cryotherapy, and diligent surveillance for the development of postoperative motion complications. In addition to thorough patient evaluation and meticulous surgical technique, a comprehensive rehabilitation protocol for the reconstructed knee is an essential part of the overall treatment algorithm of the anterior cruciate ligamentinjured extremity. This article reviews a variety of different factors involved in successful rehabilitation after anterior cruciate reconstruction using patellar bonetendon-bone autograft and presents a comprehensive rehabilitation protocol.

show abstract

Reconstruction of the Anterior Cruciate Ligament in Patients Who Are at Least Forty Years Old

Cited by 89 publications

References 37 publications

Clinical comparison of cross-pin and EndoButton for fixation of hamstring grafts

Clinical comparison of cross-pin and EndoButton for fixation of hamstring grafts

Proximal Tibia Fracture after Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft: A Case Report

Rehabilitation After Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction

Contact Info

Product

Resources

About