Anterior cruciate ligament function after tibial eminence fracture in skeletally mature patients

被引:23
作者
Ahmad, CS [1 ]
Stein, BES [1 ]
Jeshuran, W [1 ]
Nercessian, OA [1 ]
Henry, JH [1 ]
机构
[1] Columbia Presbyterian Med Ctr, New York Orthopaed Hosp, New York, NY USA
关键词
D O I
10.1177/03635465010290031501
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We compared anterior cruciate ligament function in skeletally mature patients after treatment of tibial eminence fractures with that of patients in two other groups: patients who had anterior cruciate ligament deficiency and patients who had undergone anterior cruciate ligament reconstruction using bone-patellar tendon-bone autografts. The Lysholm questionnaire was used to evaluate symptoms and KT-1000 arthrometry was used to determine objective knee laxity at an average follow-up of 5.2 years, Knee joint proprioception was assessed with a new method designed to test joint position sense. The Lysholm score for the tibial eminence group was 94 +/- 7. Only the patients in the anterior cruciate ligament-deficient group demonstrated statistically significantly increased laxity and inferior proprioception when the injured leg was compared with the uninjured leg. Both laxity and proprioception were statistically inferior for the anterior cruciate ligament-deficient group when compared with both the treated tibial eminence fracture group and the anterior cruciate ligament-reconstructed group. No statistically significant difference was observed between the anterior cruciate ligament-reconstructed and treated tibial eminence fracture groups. Correlation was observed between laxity and proprioception when all patients were analyzed. The results demonstrate that appropriate treatment of tibial eminence fractures restores stability and proprioception to the knee.
引用
收藏
页码:339 / 345
页数:7
相关论文
共 38 条
[1]  
Al-Othman A, 1998, ORTHOPEDICS, V21, P677
[2]   CLOSED TREATMENT OF FRACTURE OF TIBIAL SPINES [J].
BAKALIM, G ;
WILPPULA, E .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1974, 5 (03) :210-212
[3]   PROPRIOCEPTION IN THE ANTERIOR CRUCIATE DEFICIENT KNEE [J].
BARRACK, RL ;
SKINNER, HB ;
BUCKLEY, SL .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1989, 17 (01) :1-6
[4]   FRACTURES OF THE TIBIAL SPINE IN CHILDREN - AN EVALUATION OF KNEE STABILITY [J].
BAXTER, MP ;
WILEY, JJ .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (02) :228-230
[5]   PROPRIOCEPTION AFTER RUPTURE OF THE ANTERIOR CRUCIATE LIGAMENT - AN OBJECTIVE INDICATION OF THE NEED FOR SURGERY [J].
BEARD, DJ ;
KYBERD, PJ ;
FERGUSSON, CM ;
DODD, CAF .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1993, 75 (02) :311-315
[6]  
Caraffa A, 1996, Knee Surg Sports Traumatol Arthrosc, V4, P19, DOI 10.1007/BF01565992
[7]   PROPRIOCEPTION IN THE CRUCIATE DEFICIENT KNEE [J].
CORRIGAN, JP ;
CASHMAN, WF ;
BRADY, MP .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (02) :247-250
[8]   ISOLATED FRACTURES OF THE INTERCONDYLAR EMINENCE OF THE TIBIA [J].
GARCIA, A ;
NEER, CS .
AMERICAN JOURNAL OF SURGERY, 1958, 95 (04) :593-598
[9]  
GRONKVIST H, 1984, J PEDIATR ORTHOPED, V4, P465
[10]   AVULSION FRACTURE OF THE TIBIAL EMINENCE ASSOCIATED WITH SEVERE MEDIAL LIGAMENTOUS INJURY IN AN ADOLESCENT - A CASE-REPORT AND LITERATURE-REVIEW [J].
HAYES, JM ;
MASEAR, VR .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1984, 12 (04) :330-333