ARTHROSCOPIC ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH PATELLAR TENDON

被引：43

作者：

AGLIETTI, P

BUZZI, R

DANDRIA, S

ZACCHEROTTI, G

机构：

[1] First Orthopaedic Clinic, the University of Florence, Florence

来源：

ARTHROSCOPY | 1992年 / 8卷 / 04期

关键词：

KNEE; ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION; PATELLAR TENDON;

D O I：

10.1016/0749-8063(92)90017-6

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：

Anterior cruciate ligament reconstruction using a bone-patella tendon-bone free autologous graft was performed with an arthroscopic technique in 73 patients with chronic insufficiency. Sixty-nine (94.5%) were available for personal follow-up 3-5 years after the operation. Six patients (8%) had had postoperative difficulties in regaining a complete range of motion. Symptoms of giving-way were cured in 97% of the cases, and 89% had returned to vigorous activities. Residual anterior laxity (defined as pivot shift 2+, and/or Lachman 2+, and/or KT-1000 >5 mm at the manual maximum) was found in 13% and was more frequent in patients with an uncorrected varus laxity. Patellofemoral crepitus was present in 17% of the knees and was associated with pain and/or swelling in a further 4%; it correlated with radiographic evidence of patellofemoral incongruence (p = 0.009). Comparison of the results with those of a previous series performed by arthrotomy revealed a decreased incidence of limited range of motion, severe patellar symptoms, and changes in patellar height. Stability was the same.

引用

页码：510 / 516

页数：7

共 26 条

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