Avtor/Urednik		Hussein, Mohsen; Van Eck, Carola F.; Čretnik, Andrej; Dinevski, Dejan; Fu, Freddie H.
Naslov		Individualized anterior cruciate ligament surgery
Tip		članek
Vol. in št.		Letnik 40, št. 8
Leto izdaje		2012
Obseg		str. 1781-1788
ISSN		0363-5465 - The American journal of sports medicine
Jezik		eng
Abstrakt		Background: Reconstruction of the anterior cruciate ligament (ACL) has become a commonly performed procedure. However, biomechanical studies have demonstrated that conventional single-bundle ACL reconstruction techniques are only successful in limiting anterior tibial translation but less effective for restoring rotatory laxity. Purpose: This study aimed to compare the results of single- and double-bundle ACL reconstruction using an anatomic technique, individualized based on the patient's native ACL size. The authors hypothesized that there would be no difference between the results of anatomic single-bundle (ASB) and anatomic double-bundle (ADB) reconstruction when the surgical technique is individualized. Study design: Cohort study; Level of evidence, 2. Methods: Depending on intraoperative measurements of theACL insertion site size, patients were selected for either ASB (n = 32) or ADB (n = 69) ACL reconstruction. In all groups, hamstring tendons autograft was used with suspensory fixation on the femoral side and bioabsorbable interference screw fixation on the tibial side. The outcomes were evaluated by an independent blinded observer using the Lysholm score, subjective International Knee Documentation Committee (IKDC) form, KT-1000 arthrometer for anteroposterior stability, and pivot-shift test for rotational stability. The average follow-up was 30 months (range, 26-34 months). There were no statistically significant differences in the baseline demographics of the 2 groups. Results: There was no significant difference between the ADB and ASB groups for Lysholm score (93.9 vs 93.5), subjective IKDC score (93.3 vs 93.1),anterior tibial translation (1.5- vs 1.6-mm side-to-side difference), and pivot shift (92% vs 90% with negative pivot-shift examination). Conclusion: Anatomic double-bundle reconstruction is not superior to anatomic single-bundle reconstruction when an individualized ACL reconstruction technique is used.
Deskriptorji		Anterior Cruciate Ligament Reconstruction Sprednja križna vez, rekonstrukcija Surgical Procedures, Operative Kirurški postopki, operativni Surgery Rehabilitation Treatment Outcome Kirurgija Rehabilitacija Izid zdravljenja Methods Metode
Proste vsebinske oznake		anatomic technique single bundle double bundle individualization