Partial ACL reconstruction with preservation of the posterolateral bundle - 22/11/12
, J.-C. Panisset b, P. Colombet c, T. Cucurulo d, N. Graveleau e, C. Hulet f, J.-F. Potel g, E. Servien h, C. Trojani i, P. Djian j, N. Pujol kFrench Arthroscopy Society (SFA)1
Corresponding author.
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.
Conéctese para beneficiarse!
Summary |
Introduction |
Over the past decade, our understanding of the anterior cruciate ligament (ACL) has evolved considerably. Based on this knowledge, ACL reconstruction techniques have changed and selective reconstruction procedures have been developed for partial tears. Our hypothesis was that stability and function can be restored to the knee with selective bundle reconstruction of partial ACL tears and preservation of the residual fibers.
Materials and methods |
This was a multicenter retrospective study of 168 partial reconstructions of the anteromedial (AM) bundle of the ACL with preservation of the posterolateral (PL) bundle. All patients underwent a clinical evaluation based on the objective and subjective IKDC scores and the Lysholm score after a mean follow-up of 26months (12–59months). Preoperative and postoperative instrumental measurement of knee laxity was performed by arthrometer and/or by (Telos®) stress radiography. Statistical analysis and comparison was performed between pre- and postoperative results.
Results |
The preoperative and postoperative subjective IKDC scores were 63.7 and 90.5 at the final follow-up respectively (P<0.001). The preoperative and postoperative Lysholm scores were 80 and 95.5 respectively (P<0.001). Preoperatively, most patients were classified C on the objective IKDC score. At the final follow-up 92% of the patients were classified A or B (P<0.001). Differential preoperative laxity was 5.5mm (range: 0–14mm) and 1.1mm (range: 0–4mm) at the final follow-up (P<0.00001).
Discussion and conclusion |
Our study confirms that selective reconstruction of the AM bundle of the ACL with preservation of the PL bundle restores stability and function to the knee. Special attention should be paid to the size of the graft used to avoid excess tissue in the intercondylar notch.
Type of study |
Retrospective study, level of evidence IV.
El texto completo de este artículo está disponible en PDF.Keywords : Anterior cruciate ligament, Partial rupture, Selective bundle reconstruction, Anteromedial bundle, Posterolateral bundle
Esquema
Vol 98 - N° 8S
P. S165-S170 - décembre 2012 Regresar al número
Artículo precedente
- Natural history of partial anterior cruciate ligament tears: A systematic literature review
- N. Pujol, P. Colombet, T. Cucurulo, N. Graveleau, C. Hulet, J.-C. Panisset, J.-F. Potel, E. Servien, B. Sonnery-Cottet, C. Trojani, P. Djian, the French Arthroscopy Society (SFA) 1
- Anterior cruciate ligament reconstruction in partial tear: Selective anteromedial bundle reconstruction conserving the posterolateral remnant versus single-bundle anatomic ACL reconstruction: Preliminary 1-year results of a prospective randomized study
- N. Pujol, P. Colombet, J.-F. Potel, T. Cucurulo, N. Graveleau, C. Hulet, J.-C. Panisset, E. Servien, B. Sonnery-Cottet, C. Trojani, P. Djian, the French Arthroscopy Society (SFA) 1
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.