Clinical assessment of anterior cruciate ligament reconstruction with patellar bone-tendon-bone autograft through the medial portal
DOI:
https://doi.org/10.1016/j.rccot.2017.03.005Keywords:
anterior cruciate ligament, ACL, arthrometer, IKDC, medial portal, arthroscopyAbstract
Background: There is a lack of prospective series evaluating the post-operative outcome of patients with arthroscopic reconstruction of anterior cruciate ligament (ACL) with patellar bone-tendon-bone (PBTB), using the medial portal for perforation of the femoral tunnel. The objective of the study is to describe the functional outcome of arthroscopic ACL reconstruction with ipsilateral patellar BTB autograft through medial portal for treating anterolateral knee instability.
Materials & methods: An observational prospective cohort study was conducted with a one-year follow up of 48 patients with isolated ACL injury without associated intra-articular injuries, in whom arthroscopic reconstruction was performed with an ipsilateral BTB autograft through the medial portal. Clinical assessment was performed using the International Knee Documentation Committee (IKDC) scale, and laxity was assessed with the KT-1000 arthrometer®.
Results: The mean age of patients was 34.6 years, and 68.5% of patients had a post-operative grade of A or B according to the IKDC scale, and the objective post-operative stability measured with the KT-1000 arthrometer® was significantly better.
Discussion: After one year follow up, ACL reconstruction through medial arthroscopic portal using ipsilateral BPTB autograft showed satisfactory results for the patient and good clinical results for the surgeon.
Level of evidence: II.
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