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Remnant-preserving and re-tensioning technique to cover the graft in anterior cruciate ligament reconstruction

Title
Remnant-preserving and re-tensioning technique to cover the graft in anterior cruciate ligament reconstruction
Authors
Noh, Jung HoKyung, Hee SooRoh, Young HakKang, Tae Seok
Ewha Authors
노영학
SCOPUS Author ID
노영학scopus
Issue Date
2017
Journal Title
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
ISSN
0942-2056JCR Link

1433-7347JCR Link
Citation
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY vol. 25, no. 4, pp. 1205 - 1210
Keywords
KneeAnteriorCruciateLigamentRemnantRe-tensioning
Publisher
SPRINGER
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
This study set out to assess the clinical and radiographic outcomes and the extent of synovial coverage on second-look arthroscopy of anterior cruciate ligament (ACL) reconstruction using a remnant-preserving and re-tensioning technique to easily cover the graft with a remnant. Forty-three subjects with ACL rupture underwent remnant-preserving and re-tensioning ACL reconstruction using a free tendon Achilles allograft between 2011 and 2013. The clinical outcomes were assessed by Lysholm knee score, Lachman stress test, pivot shift test, International Knee Documentation Committee (IKDC) classification, and Tegner Activity Scale score. Side-to-side difference (SSD) was assessed on stress radiographs. The extent of synovialization was evaluated on second-look arthroscopy. The mean Lysholm score was 54 +/- 11 before surgery and 94 +/- 5 at the last follow-up (p < 0.001). On Lachman stress test, 42 subjects had grade 0 or 1 on the Lachman stress test, and 42 had grade 0 or 1 on the pivot shift test. Forty-one subjects had IKDC classification A or B; two were classified as C or D. The median Tegner Activity Scale score was 6.5 (range 5-9) before injury and 6 (range 4-8) at the last follow-up (p = 0.048). Mean SSD on stress radiographs was 9.9 +/- 2.6 mm preoperatively and 1.0 +/- 1.7 mm at the last follow-up (p < 0.001). In the assessment of the extent of synovial coverage of the graft, 39 subjects were in group 1 (> 75 %) for synovial coverage of the graft, three were in group 2 (50-75 %), and one was in group 4 (ae<currency>25 %). The remnant-preserving and re-tensioning technique resulted in satisfying short-term results clinically and radiologically and good synovial coverage on second-look arthroscopy. Case series, Level IV.
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DOI
10.1007/s00167-015-3854-7
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의과대학 > 의학과 > Journal papers
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