Back to Search
Start Over
Efficacy of Two Techniques in Anterior Cruciate Ligament Reconstruction
- Source :
- The Journal of Knee Surgery. 30:606-611
- Publication Year :
- 2016
- Publisher :
- Georg Thieme Verlag KG, 2016.
-
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.
- 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
Subjects
Details
- ISSN :
- 19382480 and 15388506
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- The Journal of Knee Surgery
- Accession number :
- edsair.doi.dedup.....a4e76b2f167d87b2b0666542e6dcb459