Augmentation surgery for handling partial tears of the anterior cruciate ligament: Case series
DOI:
https://doi.org/10.1016/j.rccot.2016.10.008Keywords:
anterior cruciate ligament, augmentation, ruptureAbstract
Introduction: Ruptures of the anterior cruciate ligament (ACL) are becoming more frequent and it is not uncommon to find patients with partial ruptures. Considering that there is nothing better than a native ligament, it remains unclear whether it is useful to preserve the unscathed bundle and reconstruct only the injured.
Materials and methods: Descriptive prospective cohort included patients with partial ACL rupture who underwent augmentation surgery between 2008 and 2012 at the Hospital of San Jose, Bogota. Patients with any knee pathology associated, with inflammatory joint disease and with moderate osteoarthritis were excluded. At 2-years follow-up, clinical and functional tests were performed.
Results: Eleven patients were enrolled with a median age of 36 years old, being mostly male (8/11). The committed bundle and autograft used were in 100% of cases PL and HTH, respectively. On physical examination, there were improvements in the Lachman test, pivot shift test and in KT-1000. About KOOS functional scale, best medians scores were found in the categories of functioning in daily activities (87) and pain (78).
Discussion: ACL augmentation at medium term of follow up (2 years) provides good clinical results, achieving an adequate joint stability and pain relief, similar to those reported in the literature for standard reconstruction.
Evidence level: IV.
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