Relationship between tunnel widening and different rehabilitation procedures after ACL reconstruction with quadrupled hamstring tendons.
- Author:
Jia-kuo YU
1
;
Hans H PAESSLER
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Anterior Cruciate Ligament; surgery; Anterior Cruciate Ligament Injuries; Female; Humans; Joint Instability; etiology; Knee Injuries; rehabilitation; surgery; Male; Reconstructive Surgical Procedures; methods; rehabilitation; Rehabilitation; methods; Retrospective Studies; Tendons; transplantation; Transplantation, Autologous
- From: Chinese Journal of Surgery 2004;42(16):984-988
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo find out the relationship between different rehabilitation procedures and the tibial tunnel widening after ACL reconstruction.
METHODSSixty-five patients undergone ACL reconstructions by using quadrupled semitendinosus and gracilis tendons were divided into two groups. Group A had 33 patients, 19 male, 14 female, average age (31.2 +/- 12.4) years, only ACL reconstruction was performed with Germanic Professor Paessler's technique, and aggressive rehabilitation procedure was used for functional recovery. Group B had 32 patients, 20 male, 12 female, average age (30.3 +/- 10.3) years. Besides ACL reconstruction, every patient in Group B accepted meniscus repair or cartilage repair with microfracture technique, then postoperative conservative rehabilitation procedure was used. Six months after operation, standard posterior-anterior radiographic plates were taken for each patient, CorelDRAW 8.0 software was used to digitize all X-ray plates and measure the upper, middle and lower parts of the tibial tunnel. Magnification of X-ray plates was taken out after measurement. Statistic analysis was done by t-test.
RESULTSSix months after ACL reconstruction, on both the posterior-anterior and lateral X-ray plates the tibial tunnel widening of the upper, middle and lower parts in Group B with aggressive rehabilitation procedure was significantly serious than in Group A with conservative rehabilitation.
CONCLUSIONSRehabilitation procedure after ACL reconstruction is one of the reasons for tunnel widening. It perhaps influences the functional recovery and long-term clinical result of the operated knee by affecting the tunnel widening.