Relationship between the Synovialization and the Clinical Results after Anterior Cruciate Ligament Reconstruction Using Tibialis Tendon Allograft.
10.5763/kjsm.2012.30.2.79
- Author:
Yoon Seok YOUM
1
;
Sung Do CHO
;
Jin EO
;
Ki Jae LEE
;
Young Jin CHOI
Author Information
1. Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. sdcho@uuh.ulsan.kr
- Publication Type:Original Article
- Keywords:
Anterior cruciate ligament reconstruction;
Tibialis tendon allograft;
Synovialization
- MeSH:
Anterior Cruciate Ligament;
Anterior Cruciate Ligament Reconstruction;
Arthroscopy;
Humans;
Knee;
Tendons;
Transplantation, Homologous;
Transplants
- From:The Korean Journal of Sports Medicine
2012;30(2):79-84
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study was to evaluate the relationship between the second-look arthroscopic findings of synovialization and the clinical results after the arthroscopic anterior cruciate ligament (ACL) reconstruction with the fresh-frozen tibialis tendon allograft. Fifty-seven patients could be examined with the second-look arthroscopy after the ACL reconstruction with tibialis tendon allograft. The average duration from reconstruction to second-look arthroscopy was 18.4 months (range, 4-48 months). The patients were classified, according to the extent of synovialization, into 3 groups; 37 cases (64.9%) in group A (good), 15 cases (26.3%) in group B (partial), and 5 cases (8.8%) in group C (poor). The clinical results were compared in each group. The 2000 International Knee Documentation Committee (IKDC) subjective knee score was 80 or more in 31 cases (83.8%) in group A, 9 (60%) in group B, and 1 (20%) in group C respectively. All thirty seven cases (100%) in group A had negative or 1+firm end-point Lachman test and negative pivot shift test, however, only 2 cases (40%) in group C. KT-1000 arthrometer measurement was less than 5 mm in 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C. According to the 2000 IKDC knee examination form, 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C respectively were normal or nearly normal. The synovialization of the graft had positive correlation with the clinical results after the ACL reconstruction with fresh-frozen allograft.
