| Author/Editor | Sajovic, Matjaž; Demšar, Saška; Sajovic, Romana | |
| Title | One-stage bilateral anterior cruciate ligament reconstruction | |
| Type | članek | |
| Vol. and No. | Letnik 21, št. 9 | |
| Publication year | 2013 | |
| Volume | str. 1998-2003 | |
| ISSN | 0942-2056 - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA | |
| Language | eng | |
| Abstract | Purpose The ideal treatment for patients presenting with bilateral anterior cruciate ligament (ACL) deficiency remains controversial. The purpose was to evaluate cost and functional results after one-stage bilateral ACL reconstruction using either hamstring or patella tendon autograft. Methods This prospective comparative study was compared the mid-term outcome of 7 patients (14 knees) who had one-stage bilateral ACL reconstruction with that of a matched group of patients who had unilateral reconstruction (21 patients). Results The median length of hospital stay was 4 (35) nights for the bilateral group and 2 (14) nights for the control group. The duration of rehabilitation process in patients from control group with unilateral ACL reconstruction was one week shorter (9 vs 8 weeks). In the bilateral group, the median Lysholm score was 96 (85100), and in the control group, the median score was 93 (81100). The median time to return to full-time work and to full sports was 9 weeks and 7 months for the one-stage group and 8 weeks and 6 months for the unilateral group. Six patients (86 %) in the bilateral group and 17 patients (81 %) in the control group were still performing at their pre-injury level of activity. National Health Institution saved 2925 EUR when we performed one-stage bilateral reconstruction instead of two-stage ACL reconstruction. Conclusions Mid-term clinical results suggested that one-stage bilateral ACL reconstruction using either hamstring or patella tendon autograft is clinically effective. For patients presenting bilateral ACL-deficient knees, one-stage bilateral ACL reconstruction is reproducible, cost effective and does not compromise functional results. | |
| Keywords | anterior cruciate ligament reconstruction rehabilitation sprednja križna vez rekonstrukcija rehabilitacija |