Birol GULMAN, Yilmaz TOMAK, Burak TUNA

Ondokuz Mayis University Medical Faculty Department of Orthopaedic Surgery and Traumatology 55139, Kurupelit, Samsun, TURKEY

Keywords: Anterior cruciate ligament, reconstruction, surgical treatment


Between March 1995-December 1997, 36 patients with old rupture of ACL were treated by Bone block-Single interference screw technique in our department. The mean age of patients was 27 (16-43) years and the average follow-up time was 20 (17-27) months after the operation. They were reevaluated according to Straub and Hunter's 100 points scale. The results of the postoperative subjective evaluation were excellent in 20(55.6 %) of the patients, good in 6(16.6 %) and poor in 4(11,2 %) of them. The results of the postoperative objective evaluation were excellent in 22 (61.1%), good in 8 (22.2%), fair in 4 (11.2%) and poor in 2 (5.6%) of the patients. In reconstruction of ACL, fixation with bone block in femoral tunnel necessitates no implant, therefore preserves the patient from a foreign body like interference screw, and reoperation to remove the screw. Also it provides a rigid fixation, and a natural graft corporation. In conclusion, this new ACL reconstruction technique is safe, easy and economic.