[Reconstruction of the anterior cruciate ligament of the knee]

[Reconstruction of the anterior cruciate ligament of the knee] Research Abstract Details 

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[Reconstruction of the anterior cruciate ligament of the knee] Abstract Text:

Dragan Nikoli?,Vlajko Draskovi?,Rajko Vulovi?,

BACKGROUND/AIM: Numerous papers on reconstruction of the anterior cruciate ligament of the knee (ACL) contribute to the significance of this method. The aim of this study was to analyze the outcome of the use of this surgical treatment method regardless the type of surgical intervention, graft, and the choice of the material for fixing. METHODS: The study included 324 patients treated within the period from April 1997 to April 2004. Arthroscopically assisted ACL reconstruction was typically performed using the central one-third of the patellar ligament, as a graft, with bone blocks. Fixing was performed using screws (spongy or interferential, Mitek type). In the cases who required revision of the surgery, we used a graft m. semitendinosus and m. gracilise (STG) or a graft of the patellar ligament (B-Pt-B). Fixation in these cases was performed using absorptive wedges according to the Rigidfix technique or metallic implants. RESULTS: The analysis included the results of the reconstruction of the anterior cruciate ligament of the knee (B-Pt-B or STG graft) in 139 of the knees. Chronic injuries were revealed in 132 (94.9%) of the knees. According to the anamnesis and clinical findings, the feeling of instability prevailed in 132 (94.9%) of the knees, pain in 72 (51.7%), effluents in 24 (17.2%), and blockages in 13 (9.3%). Early and late postoperative complications were noticeable in 3.5% each. Hypotrophy of the upper knee musculature up to 2 cm was present in 53.9% of the operated knees, while minor contractions in 13.6% of them. The final result of the reconstruction graded begusing the Lysholm Scale was 85.2, simultaneous reconstructions of other ligaments 75.3, and revision surgery 68.0. First-grade degenerative postoperative changes according to the K/L Scale were found in 55.0% of the surgically treated knees, while the worst, four-grade one in 2.5%. CONCLUSION: On the basis of these findings, we can conclude that this method is the method of choice in preventing further "worsening" of the chronically instable knee. The surgical technique of choice is arthroscopically assisted reconstruction using a B-Pt-B or STG graft.

[Reconstruction of the anterior cruciate ligament of the knee] Publishing Authors By Initials

D Nikoli?,V Draskovi?,R Vulovi?,

For similar surgical procedures, operative: reconstructive surgical procedures research abstracts see: surgical procedures, operative: reconstructive surgical procedures research

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[Reconstruction of the anterior cruciate ligament of the knee] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Vojnosanitetski pregled. Military-medical and phar

VOLUME: 63

Page Numbers: 945-51

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ISSN: 0042-8450

DAY: 9

MONTH: Nov

YEAR: 2006

[Reconstruction of the anterior cruciate ligament of the knee] Information

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LANGUAGE: scc

NlmUniqueID: 21530700

[Reconstruction of the anterior cruciate ligament of the knee] Keywords Mesh Terms:

KEYWORDS: Reconstructive Surgical Procedures

MESH TERMS: methods

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Grant and Affiliation Information for [Reconstruction of the anterior cruciate ligament of the knee]

AFFILIATION: Vojnomedicinska akademija, Klinika za traumatologiju i ortopediju, Beograd, Srbija. drdragannikolic@hotmail.com

Country: Serbia and Montenegro

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MEDLINETA: Vojnosanit Pregl

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