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A prospective four‐ to seven‐year follow‐up after arthroscopic anterior cruciate ligament reconstruction
Author(s) -
Brandsson S.,
Faxén E.,
Kartus J.,
Jerre R.,
Eriksson B. I.,
Karlsson J.
Publication year - 2001
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1034/j.1600-0838.2001.011001023.x
Subject(s) - medicine , anterior cruciate ligament , surgery , arthroscopy , prospective cohort study , anterior cruciate ligament reconstruction , patellar tendon
The aim of this study was to evaluate the results after arthroscopic anterior cruciate ligament reconstruction using a bone‐patellar tendon‐bone graft in 99 patients, who were followed up prospectively for four to seven years. The pre‐injury Tegner activity level was 7 compared with 5 at the four‐ to seven‐year follow‐up ( P <0.0001). The preoperative Lysholm score was 74.5 points. At the two‐year follow‐up, the Lysholm score was 95 points, while it was 90 points at the four‐ to seven‐year follow‐up ( P <0.0001 preoperative vs two years and preoperative vs four to seven years and P <0.0005 two years vs four to seven years). Using the IKDC evaluation system, 80% of the patients were classified as normal or nearly normal and 20% as abnormal or severely abnormal at the final follow‐up. The KT‐1000 laxity measurements revealed a side‐to‐side difference of 2.9 mm preoperatively, 0.6 at two years and 1.0 mm at four to seven years. Twenty‐six patients underwent additional surgery during the follow‐up period. The results after arthroscopic reconstruction of the anterior cruciate ligament appear to be satisfactory both at the short‐ and the medium‐term follow‐ups, but there appears to be some deterioration between the two‐year and the four‐ to seven‐year follow‐up.