The Follow-up Results of Anterior Cruciate Ligament Reconstruction Using The Flexible Reamer

유연성 연마기를 이용한 관절경적 전방 십자 인대 재건술의 추시 결과

  • Chae, In-Jung (Department of Orthopedic Surgery, Korea University Hospital) ;
  • Wang, Joon-Ho (Department of Orthopedic Surgery, Korea University Hospital) ;
  • Choi, Gi-Won (Department of Orthopedic Surgery, Korea University Hospital) ;
  • Song, Dong-Ik (Department of Orthopedic Surgery, Korea University Hospital)
  • 채인정 (고려대학교 의과대학 정형외과학교실) ;
  • 왕준호 (고려대학교 의과대학 정형외과학교실) ;
  • 최기원 (고려대학교 의과대학 정형외과학교실) ;
  • 송동익 (고려대학교 의과대학 정형외과학교실)
  • Published : 2008.02.29

Abstract

Purpose: The purpose of this study is to evaluate the clinical results of the function and stability of ACL reconstruction using the flexible reamer. Materials and Methods: We reviewed 98 patients who taken ACL reconstruction using the flexible reamer from March, 1999 to May, 2004. And the follow-up period was more than 12 months in all cases. We used the subjective tests including Lysholm knee score and 2000 International Knee Documentation Committee(IKDC) subjective knee score, and the objective tests such as anterior drawer test, Lachman test, pivot shift test, and KT-2000 arthrometer to evaluate the clinical results. Results: In the range of motion of the affected knee, the extension deficit more than 5 degree was 8 cases preoperatively and 1 case postoperatively. The flexion deficit more than 5 degree was 12 cases preoperatively and 2 cases postoperatively. The mean Lysholm knee score was 61.3 point(${\pm}3.5$ SD) preoperatively and 87.7 point(${\pm}2.0$ SD) postoperatively. The mean 2000 International Knee Documentation Committee(IKDC) subjective knee score was 49 point(${\pm}3.3$ SD) preoperatively and 84 point (${\pm}2.2$ SD) postoperatively. 93 cases were more than grade II in Lachman test preoperatively and 5 cases postoperatively. 71 cases were more than grade II in pivot shift test preoperatively but 89 cases were negative postoperatively. The mean maximal manual difference by KT-2000 arthrometer was 6.8 mm(${\pm}1.9$ SD) preoperatively and 1.8 mm(${\pm}0.8$ SD) postoperatively. Conclusion: ACL reconstruction using the flexible reamer achieved the ideal isometric point of femur and anatomic graft placement, so we could obtain good results, especially in rotational stability.