Format

Send to

Choose Destination
Knee Surg Relat Res. 2017 Mar 1;29(1):19-25. doi: 10.5792/ksrr.15.061.

Mid-Term Outcomes of Anterior Cruciate Ligament Reconstruction with Far Anteromedial Portal Technique.

Author information

1
Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
2
Department of Orthopedic Surgery, Jeju National University College of Medicine, Jeju, Korea.

Abstract

Purpose:

The purpose of this study was to evaluate the mid-term outcomes of anatomic anterior cruciate ligament (ACL) reconstruction using two anteromedial (AM) portals by comparing with short-term follow-up results.

Materials and Methods:

Fifty patients who were treated by ACL reconstruction using a two AM portal technique were evaluated retrospectively. The follow-up period was at least 5 years. The mean follow-up period was 68.5±13.9 months. The mid-term clinical outcomes were compared with short-term (≥12 months) results. For the assessment of knee stability, anterior tibial translation was evaluated using the Lachman test and the KT-2000. Rotational stability was evaluated using pivot shift test. For clinical assessment, the Lysholm and International Knee Documentation Committee scores were used.

Results:

The average anterior translation was 2.1±1.4 mm at the short-term follow-up and 2.8±1.8 mm at the mid-term follow-up. Stability and mid-term clinical outcomes were not significantly improved compared to the short-term follow-up results. At the mid-term follow-up, anteroposterior (AP) instability assessed by the KT-2000 was slightly increased, but still acceptable. On the other clinical physical evaluation, there was no statistically significant difference.

Conclusions:

The short-term and mid-term outcomes of ACL reconstruction using the two AM portal technique were not significantly different except for AP stability although the value was less than 3 mm at both follow-ups. Therefore, this operative technique could be considered a satisfactory alternative for ACL reconstruction.

KEYWORDS:

Anterior cruciate ligament; Knee; Mid-term outcome; Reconstruction

Supplemental Content

Full text links

Icon for Inforang Icon for PubMed Central
Loading ...
Support Center