Surgical Outcome of Primary Repair in Anterior Cruciate Ligament Rupture - Minimum 4-years follow-up -

전방 십자 인대 봉합술의 수술적 치료 - 최소 4년 이상 추시 결과 -

  • Byun, Ki-Yong (Department of Orthopaedic Surgery, School of Medicine, Clung Nam National University) ;
  • Rhee, Kwang-Jin (Department of Orthopaedic Surgery, School of Medicine, Clung Nam National University) ;
  • Lee, Suk-Joon (Department of Orthopaedic Surgery, School of Medicine, Clung Nam National University)
  • 변기용 (충남대학교병원 정형외과학교실) ;
  • 이광진 (충남대학교병원 정형외과학교실) ;
  • 이석준 (충남대학교병원 정형외과학교실)
  • Published : 2000.12.01

Abstract

Purpose : To evaluate of the surgical outcome of primary repair in anterior cruciate ligament rupture. Material & Method : Twenty-five patients underwent arthroscopic primary repair of ACL. We performed pull-out suture of ruptured ligament in 18 cases, and suture and augumentation with gracillis & semitendinosus in 7 cases. At follow up, the International Knee Documentation Committee(IKDC) scale & Lysholm score were used to grade outcome, and also the KT-2000 arthrometer was used to evaluate objective ligament laxity. Results : In analysis of IKDC scale, final evaluation group were group A in 3 cases, group B in 13 cases, group C in 9 cases. The mean value of Lysholm score was 83 points. In KT-2000 arthrometer examination, mean anterior translation was 3.9mm at 201b, 7.3mm at 30lb. The mean difference value between injured knee and uninjured knee was 1.1mm at 201b, 2.29mm at 301b. There was statistical significance in mean difference value between injured and uninjured knee. Conclusion : By analysis of clinical & objective data, we could confirm that the mid-term result of ACL suture is not satisfactory. So, we recommend that ACL reconstruction would be done in young active patient rather than suture.