Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction Using an Outside-in Technique: Two- to Six-Year Clinical and Radiological Follow-up
10.5792/ksrr.2015.27.1.34
- Author:
Jae Ang SIM
1
;
Yong Seuk LEE
;
Kyung Ok KIM
;
Jong Keun KIM
;
Beom Koo LEE
Author Information
1. Department of Orthopaedic Surgery, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. bklee@gilhospital.com
- Publication Type:Original Article
- Keywords:
Anterior cruciate ligament;
Reconstruction;
Double bundle;
Outside-in technique
- MeSH:
Anterior Cruciate Ligament;
Anterior Cruciate Ligament Reconstruction;
Follow-Up Studies;
Humans;
Humulus;
Incidence;
Joints;
Knee;
Retrospective Studies;
Sports
- From:The Journal of Korean Knee Society
2015;27(1):34-42
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: We evaluated the clinical and radiological outcomes of double-bundle anterior cruciate ligament (ACL) reconstruction using an outside-in technique with a follow-up of two- to six-years, especially in terms of the sports activity level and radiological degeneration. MATERIALS AND METHODS: Sixty-seven patients who were available for a minimum two-year follow-up after double-bundle ACL reconstruction using an outside-in technique were retrospectively evaluated. The mean follow-up period was 43.7 months. The knee function and stability were evaluated before the operation, one year after the operation (short-term follow-up), and more than two years after the operation (last follow-up). RESULTS: Regarding the knee function, the Lysholm score, International Knee Documentation Committee (IKDC) evaluation, and hop test showed significant improvement. Regarding the stability, the Lachman test, pivot shift test, KT-2000 arthrometer data, and anterior drawer radiographs using Telos showed significant improvement. Regarding the sports activity level, the patients who returned to pre-injury level activity was 68.7% according to the Tegner activity score and 76.1% according to the Cincinnati sports activity scale score. The incidence of aggravated degeneration or development of greater than IKDC grade A degeneration after surgery was 10.4%. CONCLUSIONS: Double-bundle ACL reconstruction using an outside-in technique showed favorable clinical and radiological outcomes with respect to the knee function and stability, joint degeneraion, and, especially, return to pre-injury sports activity.
