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Original Research

Ann Med Res. 2011; 18(1): 20-25


Evaluation of Return to Sports after Arthroscopic Reconstruction of Ruptured ACL with Patellar Tendon Autograft

Kasım Kılıçarslan*, İsmail Demirkale*, Bülent Bektaşer*, Nadir Yalçın*, Osman Tecimel*, Şükrü Solak*

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Abstract


Aim: Return period of active athlete whose anterior cruciate ligament rupture was reconstructed with artroscopic bone-patellar tendon-bone autograft was evaluated in this study.

Material-Methods: The study included 27 (27male, 5 female) patients who had arthroscopic anterior cruciate reconstruction with bone-patellar tendon-one autograft. The mean age was 22.85; 13 (48.1%) had right and 14 (51.9%) left side operated. Mean follow-up was 19 months. Time duration from trauma to surgery was 5.59 months. Sportic activity of atheletes were: soccer player (n=9, 33.4%), handball player (n=5 18.5%), basketball player (n=4 14.8%), volleyball player (n=4 14.8%), wrestler (n=3 11.1%), taekwando player (n=2 7.4%). Evaluations were done for preoperative and postoperative period with Lysholm Knee Scosre, IKDC (Intenational Knee Documentation Committee) scores and Tegner activity scale.

Results: According to Lysholm knee scoring system, 14 patient (%51.8) had excellent, 11 had (40.8%) good and 2 had (7.4%) fair scores. Twentyfive patient (92.6%) was in the group A and B according to IKDC score. Postoperative one leg hope test at 6 mo revealed over 90% points at 25 (92.6%) patients and below 90% points at 2 patients (7.4%). Tegner activation level at preoperative period was founded to be 7.56±0,9 points and it was 7.26±0.9 points after the surgery. Any radiological insufficiency was detected for femoral and tibial tunnels. One patient had rerupture at the postoperative period. We had no infection, deep vein thrombosis, refleks sympathic dystrophy ,arthrofibrosis or cyclops lesion.

Conclusion: We believe that active and young athletes who underwent anterior cruciate ligament insufficiency can be able to return to previous activity level at 6 moths postoperative period.

Key Words: Anterior Cruciate Ligament; Bone-Patellartendon-Bone Autograft; Active Athlete.






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