Anterior Cruciate Ligament Reconsruction Using Tibialis Tendon Allograft - A Short-Term Follow-Up Result -

동종 경골건을 이용한 전방 십자 인대 재건술 -단기 추시 결과-

  • Woo, Jong-Ken (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Ko, Sang-Hun (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Lew, Sog-u (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Park, Moon-Soo (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Jung, Kwang-Hwan (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Gwak, Chang-Youl (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Lee, Chae-Chil (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Cho, Sung-Do (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine)
  • 우종근 (울산대학교 의과대학 정형외과학교실) ;
  • 고상훈 (울산대학교 의과대학 정형외과학교실) ;
  • 류석우 (울산대학교 의과대학 정형외과학교실) ;
  • 박문수 (울산대학교 의과대학 정형외과학교실) ;
  • 정광환 (울산대학교 의과대학 정형외과학교실) ;
  • 곽창렬 (울산대학교 의과대학 정형외과학교실) ;
  • 이채칠 (울산대학교 의과대학 정형외과학교실) ;
  • 조성도 (울산대학교 의과대학 정형외과학교실)
  • Published : 2004.12.31

Abstract

Purpose: To evaluate the clinical stability and function after arthroscopic anterior cruciate ligament(ACL) reconstruction using fresh-frozen tibialis tendon allograft. Materials and Methods: Of the patients who underwent ACL reconstruction using tibialis tendon allograft from July 2002 to June 2003, thirty-one patients could be evaluated and the mean follow-up period was 19 months. Evaluations included were Lysholm knee score, 2000 International knee Documentation Committee (IKDC) subjective knee score, Lachman test, pivot shift test, KT-1000 arthrometer measurement and 2000 IKDC knee examination. Results: The mean Lysholm score was 88. Twenty-eight patients (90.3%) were good or exellent for the measured parameters. Twenty-seven patients(87.1%) was over 70 in IKDC subjective knee score. Thirty patients (96.8%) had 1+ firm end or negative Lachman test. 27 patients (87.1%) had a negative pivot shift. Thirty patients (96.8%) had less than 5mm difference of maximal manual difference by KT-1000 arthrometer. Twenty -nine patients (93.5%) were nearly normal or normal grade by 2000 IKDC knee examination. Complications were 1 case of failure and 1 case of infection. Conclusion: ACL reconstruction with the double-stranded fresh-frozen tibialis tendon allograft resulted in a reliable and predictable outcome after short-term follow-up.