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- Title
Mid-Term Outcomes of Anterior Cruciate Ligament Reconstruction with Far Anteromedial Portal Technique.
- Authors
Yoon Sang Jeon; Sung Wook Choi; Ju Hyun Park; Jae Sik Yoon; Jung Sub Shin; Myung Ku Kim
- Abstract
Purpose: The purpose of this study was to evaluate the mid-term outcomes of anatomic anterior cruciate ligament (ACL) reconstruction using two anteromedial (AM) portals by comparing with short-term follow-up results. Materials and Methods: Fifty patients who were treated by ACL reconstruction using a two AM portal technique were evaluated retrospectively. The follow-up period was at least 5 years. The mean follow-up period was 68.5±13.9 months. The mid-term clinical outcomes were compared with short-term (≥12 months) results. For the assessment of knee stability, anterior tibial translation was evaluated using the Lachman test and the KT- 2000. Rotational stability was evaluated using pivot shift test. For clinical assessment, the Lysholm and International Knee Documentation Committee scores were used. Results: The average anterior translation was 2.1±1.4 mm at the short-term follow-up and 2.8±1.8 mm at the mid-term follow-up. Stability and midterm clinical outcomes were not significantly improved compared to the short-term follow-up results. At the mid-term follow-up, anteroposterior (AP) instability assessed by the KT-2000 was slightly increased, but still acceptable. On the other clinical physical evaluation, there was no statistically significant difference. Conclusions: The short-term and mid-term outcomes of ACL reconstruction using the two AM portal technique were not significantly different except for AP stability although the value was less than 3 mm at both follow-ups. Therefore, this operative technique could be considered a satisfactory alternative for ACL reconstruction.
- Subjects
ANTERIOR cruciate ligament injury diagnosis; ANTERIOR cruciate ligament injury treatment; IMAGE reconstruction; FOLLOW-up studies (Medicine); RETROSPECTIVE studies
- Publication
Knee Surgery & Related Research, 2017, Vol 29, Issue 1, p19
- ISSN
2234-0726
- Publication type
Article
- DOI
10.5792/ksrr.15.061