Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Passler, JM; Babinski, K; Schippinger, G.
Failure of clinical methods in assessing graft integrity after anterior cruciate ligament reconstruction: An arthroscopic evaluation
Arthroscopy. 1999; 15(1):27-34
Doi: 10.1053/ar.1999.v15.0150021
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Schippinger Gert
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- Abstract:
- We reviewed the findings of 24 patients who underwent knee arthroscopy following a bone-patellar tendon-bone autograft anterior cruciate ligament (ACL) reconstruction. Preoperative symptoms included pain, swelling, catching, and/or locking. Only one patient presented with subjective instability. The subjective and objective clinical findings as well as KT-1000 examination were compared with the arthroscopic findings. Thirteen of the 24 patients had an insufficient ACL graft by arthroscopic examination. In only 5 of these patients did the physical examination and/or KT-1000 results reliably detect an insufficient ACL graft. The remaining 8 patients had a stable knee by subjective and objective clinical criteria as well as strict KT-1000 criteria. No significant degenerative changes or lack of motion was present in this group. Also, 7 of the 8 patients had an excellent or good Orthopädische Arbeitsgruppe Knie (OAK) score and maintained a high level of function. In the two patients who underwent preoperative magnetic resonance imaging the lack of an intact graft was confirmed. A subset of patients appear to have stable knees despite the lack of a functioning ACL graft. Therefore, standard clinical and KT-1000 criteria for ACL deficient knees have limitations in detecting graft integrity after ACL reconstruction. Arthroscopy or magnetic resonance imaging may be needed when graft integrity is in question.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Anterior Cruciate Ligament - pathology Anterior Cruciate Ligament - radiography Anterior Cruciate Ligament - transplantation
- Arthrography -
- Arthroscopy -
- Follow-Up Studies -
- Humans -
- Joint Instability - etiology Joint Instability - physiopathology Joint Instability - surgery
- Knee Joint - pathology Knee Joint - radiography Knee Joint - surgery
- Magnetic Resonance Imaging -
- Middle Aged -
- Range of Motion, Articular -
- Reconstructive Surgical Procedures - adverse effects
- Reoperation -
- Treatment Failure -
- Find related publications in this database (Keywords)
- ACL reconstruction
- KT-1000
- arthroscopy
- graft integrity