Author/Editor		Sajovic, Matjaž; Vengust, Vilibald
Title		Primerjava transligamentarne in artroskopske operativne rekonstrukcije sprednje križne vezi z ligamentom patele
Translated title		Comparison of transligamentar and arthroscopic reconstruction of the anterior cruciate ligaments using a patella tendon bone autograft
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 68, št. Suppl 1
Publication year		1999
Volume		str. I-25-8
Language		slo
Abstract		Background. The purpose of this study was to determine in a prospective, randomised design whether artroscopically assisted anterior cruciate ligament reconstruction offered any significant immediate or short-term advantages over traditional reconstruction through a limited transligamentar approach. Methods. In 1996 (March-September) patients with a deficiency of the anterior cruciate ligament were assigned to one of two treatment groups: Groups I (transligamentar reconstruction) on Group II (arthroscopic reconstruction). Postoperatively, both groups were treated identically. Results. Economic advantages of each technique were evaluated through the following factors: length of surgery, duration of hospitalization and amount of pain medication. Success of operative treatment was evaluated using standardised objective (clinical evaluation, KLT artrometer measurements, Z-rays) and subjective (100-pts. Questionnaire) observations. in 90% cases of the cases results in both groups were excellent. Conclusions. Arthroscopic reconstruction is time-consuming operative method that requires additional technical equipment, but is does not give better functional or aesthetic results.
Summary		Izhodišča. Poškodba sprednje križne vezi se odraža v nestabilnosti kolenskega sklepa. Poškodovano križno vez nadomestimo s presadkom. Namen prospektivne, randomizirane raziskave je prikazati, ali daje artroskopska rekonstrukcija v primerjavi s transligamentarno rekonstrukcijo boljši funkcionalni, estetski oziroma ekonomski rezultat. Metode. V letu 1996 (marec-september) so bili poškodovanci z rupturo sprednje križne vezi randomizirano razvrščeni v dve terapevtski skupini: skupino I (transligamentarna rekonstrukcija) ali skupino II (artroskopska rekonstrukcija). Obe skupini operirancev sta bili pooperativno vključeni v enoten rehabilitacijski protokol. Rezultati. Ekonomsko prednost posamezne tehnike je bila ovrednotena s pomočjo naslednjih kriterijv: dolžina operacije, trajanje hospitalizacije, in poraba analgetikov. Uspešnost operativne metode je bila ocenjena s pomočjo standardiziranih objektivnih (klinični pregled, meritve s KLT artrometrom, RTG) in subjektivnih (100-točkovni vprašalnik) dejavnikov. Kar v 90% smo dosegli v obeh skupinah odličen rezultat. Zaključki. Artroskopska rekonstrukcija je zamudnejši operativni poseg, ki zahteva uztrezna tehnična sredstva, vendar ne daje boljšega funkcionalnega oziroma estetskega rezultata.
Descriptors		KNEE INJURIES ANTERIOR CRUCIATE LIGAMENT JOINT INSTABILITY RUPTURE ARTHROSCOPY TREATMENT OUTCOME