Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization-Reference-Cited by-同舟云学术

Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization

Published:2019-03-28 Issue:1 Volume:178 Page:39-44
ISSN:0042-4625
Container-title:Grekov's Bulletin of Surgery
language:
Short-container-title:VESTNIK KHIRURGII IMENI I.I.GREKOVA

Author:

Zayats V. V.¹,Dulaev A. K.²,Zagorodnii N. V.³,Dydykin A. V.¹,Ulianchenko I. N.¹

Affiliation:

1. Pavlov University

2. Pavlov University; Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine

3. Peoples’ Friendship University of Russia

Abstract

Theobjectivewas to compare the effectiveness of isolated anatomical antegrade reconstruction of the anterior cruciate ligament (ACL) with bonetendon-bone autograft (BTB autograft) and in combination with lateral extra-articular tenodesis (LEAT) graft from the iliotibial tract (ITT).Material and methods. We analyzed 187 arthroscopic ACL reconstructions in patients with a Pivot shift test – 3+ degree. We performed an isolated ACL-R in 118 (63.1 %) patients in group 1 and added the LEAT from ITB to it in group 2.Results. According to IKDC-2000: 176 (94.1 %) patients were included in categories A and B, 11 (5.9 %) – in C. Significant differences in these groups appeared 15 months after the operation. According to KOSS: in group 2, the anterior and rotational knee stability, as well as the level of sports activity were higher, and pathological symptoms were less common.Conclusion. LEAT from ITB increases stability and functionality of the knee joint in patients with anatomical antegrade ACL reconstructions with BTB-autograft for terms over 15 months after the operation, and is an economically procedure.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

Reference23 articles.

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