THE RESULTS OF RECONSTRUCTIONS OF ANTERIOR CRUCIATE LIGAMENT WITH BONEPATELLAR LIGAMENT-BONE GRAFT
Hakan ÖZDEMİR, Aydın YILDIRIM, Mustafa ÜRGÜDEN, Semih GÜR, Ahmet Turan AYDIN
Akdeniz Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, Antalya
Keywords: Anterior Cruciate Ligament, Reconstruction, Bone-Patellar Tendon-Bone Grafting.
Abstract
Introduction: In Orthopaedic Surgery and Traumatology Department of Akdeniz University Medical School, 87 patients were operated with bone-patellar ligament-bone grafts because of Anterior Cruciate Ligament lesion between the years of 1994-1998. Twenty four of these patients, aged between 19-39 (av.26.6), were followed 22-42 months (av.29 months).
Patients and methods: All of the patients were men and 83.5% of them were injured in sports activities. Average follow-up period was 29 months (22-42 months). All injured knees were examined with arthroscopy and if necessary intervention to meniscal and/or chondral pathologies before reconstruction of ACL.
Results: There was pain in 14 (58%) cases, atrophy of Quadriceps muscle in 8 (33.5%), swelling in 5 (20%), persistence of giving way in 2 (8.3%), arthrofibrosis in 1 (4.1%) and infection in 1 (4.1%). According to Lysholm criteria for postoperative mid period, 19 cases (79%), indicated excellent and good results, not only functionally but also subjectively. According to Tegner criteria, activity levels of 18 patients (75%) were increased.
Discussion: In conclusion, it was found out that anterior cruciate ligament reconstruction with bonepatellar ligament-bone grafts resulted out successfully in gaining back daily activity by achieving dynamical and statical stability of the knee. But the results were fair in the presence of meniscal pathologies.