The use of hamstrings in anterior cruciate ligament reconstruction in patients over 40 years
In: Archives of Orthopaedic and Trauma Surgery, Jg. 127 (2007-04-14), S. 835-843
Online
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Zugriff:
Anterior cruciate ligament reconstruction is an increasingly established method even in patients over 40 years old. Recent studies with regard to this procedure used BTB transplants. We did a retrospective follow-up examination on over-40-year-old patients with anterior cruciate ligament reconstruction using hamstring transplants and compared them to a younger control group. Our hypothesis is that functional outcome after ACL-reconstruction is comparable in patients under and over 40 years of age. Retrospective follow-up examinations in 28 patients, 11 women and 17 men. The average age at the time of operation was 43.5 years (range 40–61). The average follow-up period was 30.4 months. Half of the patients had a femoral fixation in TransFix® technique (Arthrex®, Naples, USA), while the other 14 patients had a femoral bioscrew fixation (Arthrex®, Naples, USA). Objectivity was ensured by measurements of anterior tibial translation with the rolimeter (Aircast®). The functional outcome was determined by clinical scores (Tegner activity scale, Lysholm knee score, OAK score and IKDC score). The degree of arthrosis was defined on the basis of tunnelview radiographs and compared to the non-operated site. Functional results and degree of laxity was compared to a sex matched control group (mean age 28.0). The median values for the Lysholm knee score were 91.5 points (range 69–100), for the OAK score 93.5 points (range 67–100) and for the IKDC score 83.35 points (range 62.1–100). For the Tegner activity scale values of 4.5 points (range 3–8) were obtained. In the IKDC knee examination form we found normal and nearly normal values in 86% and in the OAK examination score good and very good results in 82%. Ninety-three percent had an AP side-to-side difference of
Titel: |
The use of hamstrings in anterior cruciate ligament reconstruction in patients over 40 years
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Autor/in / Beteiligte Person: | Josten, Christoph ; Engel, Thomas ; Marquass, Bastian ; Lill, Helmut ; Düsing, Thomas ; Hepp, Pierre |
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Zeitschrift: | Archives of Orthopaedic and Trauma Surgery, Jg. 127 (2007-04-14), S. 835-843 |
Veröffentlichung: | Springer Science and Business Media LLC, 2007 |
Medientyp: | unknown |
ISSN: | 1434-3916 (print) ; 0936-8051 (print) |
DOI: | 10.1007/s00402-007-0317-8 |
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