1. Efficacy of Two Techniques in Anterior Cruciate Ligament Reconstruction
- Author
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William H. Replogle, Gene R. Barrett, Josie M. Hydrick, James A. Hurt, John H. Berry, Kasey Thibodeaux, and Austin M. Barrett
- Subjects
Joint Instability ,Male ,medicine.medical_specialty ,Adolescent ,Anterior cruciate ligament reconstruction ,medicine.medical_treatment ,Pivot shift ,Statistical difference ,Knee Injuries ,Bone-Patellar Tendon-Bone Grafting ,Treatment failure ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Treatment Failure ,Anterior Cruciate Ligament ,Young adult ,030222 orthopedics ,Bone Transplantation ,Anterior Cruciate Ligament Reconstruction ,business.industry ,Anterior Cruciate Ligament Injuries ,Patella ,030229 sport sciences ,medicine.disease ,ACL injury ,Single surgeon ,Surgery ,Clinic visit ,Treatment Outcome ,Female ,business - Abstract
The purpose of this study is to compare failure rate and functional outcome in young, active patients (< 25 years) with two-incision (rear-entry) versus transtibial (all-endoscopic) anterior cruciate ligament (ACL) reconstructions.Utilizing a computerized relational database (Access 2007, Microsoft Inc., Redmond, WA), 480 patients were identified that underwent ACL reconstruction, using a bone-patellar-tendon-bone autograft, by a single surgeon between January 2000 and December 2010 via a transtibial or two-incision technique. Totally, 377 (78.6%) of these patients were less than 25 years of age. Data for each patient were collected at their initial clinic visit, at the time of surgery, and at each follow-up clinic visit and entered into the computerized relational database. Overall, 274 patients (72.7%) underwent ACL reconstruction with a transtibial technique, and 103 patients (27.3%) underwent reconstruction with a two-incision technique. Failures were identified as a 2+ Lachman, 1+ or greater pivot shift, or a KT-1000 arthrometer difference of five or more.In patients Our study showed no statistical difference between the two-incision technique and the transtibial technique for ACL reconstruction using bone-patellar-tendon-bone autograft with an overall 10.1% failure rate in young, active patients (< 25 years of age). The level of evidence is level IV.
- Published
- 2016