Reconstruction of Anterior Cruciate Ligament with Fresh-frozen Achilles Allograft

신선 동결 동종 아킬레스건을 이용한 전방 십자인대 재건술

  • Choi, Nam-Yong (Department of Orthopedic Surgery, Sf. Paul's hospital, The Catholic University of Korea) ;
  • Han, Suk-Ku (Department of Orthopedic Surgery, Sf. Paul's hospital, The Catholic University of Korea) ;
  • Nah, Ki-Ho (Department of Orthopedic Surgery, Sf. Paul's hospital, The Catholic University of Korea) ;
  • Seo, Sang-ll (Department of Orthopedic Surgery, Sf. Paul's hospital, The Catholic University of Korea) ;
  • Lee, Do-Sung (Department of Orthopedic Surgery, Sf. Paul's hospital, The Catholic University of Korea) ;
  • Song, Hyun-Seok (Department of Orthopedic Surgery, Sf. Paul's hospital, The Catholic University of Korea)
  • 최남용 (가톨릭대학교 의과대학 성바오로병원 정형외과) ;
  • 한석구 (가톨릭대학교 의과대학 성바오로병원 정형외과) ;
  • 나기호 (가톨릭대학교 의과대학 성바오로병원 정형외과) ;
  • 서상일 (가톨릭대학교 의과대학 성바오로병원 정형외과) ;
  • 이도성 (가톨릭대학교 의과대학 성바오로병원 정형외과) ;
  • 송현석 (가톨릭대학교 의과대학 성바오로병원 정형외과)
  • Published : 2004.06.30

Abstract

Purpose: We analyzed the clinical results of ACL(anterior cruciate ligament) reconstruction of chronic anterior cruciate ligament injuries with a fresh frozen Achilles allograft, retrospectively. Methods: Thirty-eight patients(average age 32.4 years) who had an chronic injury of ACL reconstructed with an Achilles allograft between January 1999 and February 2001 were included. The mean follow-up was 19.2(12-36) months. The clinical evaluation was done by range of motion, Lachman and pivot-shift test, KT-1000 arthrometer, Lysholm knee score, and the modified Feagin score. Results: All patients recovered full range of motion of affected knees. With use of Lachman and pivot-shift test data, thirty seven(97.4%) were functional. When comparing KT-1000, we found mean maximum side-to-side differences less than 2.1 mm. According to Lysholm knee score, mean postoperative score was 90.4. Thirty four(89.5%) had good to excellent results in modified Feagin score. Conclusion: Results of ACL reconstruction using fresh frozen Achilles allografts were comparable to autografts. ACL reconstruction with Achilles allograft could be a reasonable altemative to autografts.