Anterior Cruciate Ligament Reconstruction through the Patellar Tendon Harvest Site.
- Author:
Woo Shin CHO
;
Kyoung Min NOH
;
Yong Sun CHO
;
Ho Seung LEE
;
Chung Hwan KIM
;
Hoi Jin LEE
- Publication Type:Original Article
- Keywords:
ACL;
Reconstruction;
Autogenous BPB;
Patellar Tendon Harvest Site
- MeSH:
Anterior Cruciate Ligament Reconstruction*;
Anterior Cruciate Ligament*;
Arthroscopy;
Follow-Up Studies;
Hand;
Learning Curve;
Muscle Strength;
Patellar Ligament*;
Rehabilitation;
Transplants
- From:The Journal of the Korean Orthopaedic Association
1998;33(7):1720-1727
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Arthroscopy assisted anterior cruciate ligament(ACL) reconstruction with the autogenous bone-patellar tendon-bone(BPB) graft showed more favorable results in the hand of experienced surgeon, but it requires long leaming curve for skillful techniques. On the contrary, open method is very easy to learn, but it needs more soft tissue dissection affecting rehabilitation and morbidity. Arthrotomy through the patellar tendon harvest site provide good surgical approach without supplementary incision, and hence short operation time and good clinical result can be expected. The purpose of this study is to introduce this technique and compares the results with arthroscopic one. We performed 67 cases of ACL reconstruction with autogenous BPB graft through the patellar tendon harvest site. We recorded and analysed the physical findings, Lysholm score and Cybex test at preoperative and postoperative 3, 6, 12 months. Average Lysholm score was 58.0 preoperatively and 90.5 at postoperative one year. Cybex test at one year follow-up showed decreased muscle strength of quadriceps, which was nearly the same result with arthroscopic technique. In conclusion, this technique provided similar excellent clinical results comparing with the arthroscopy assisted ones. Furthermore, this technique had merits of short learning curve and short operation time.
