Comparison of augmented and non-augmented anterior cruciate ligament reconstruction combined with high tibial osteotomy
Gordian Stutz, A Boss & A Gächter
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abstract
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In a follow-up study 27 patients were evaluated after anterior
cruciate ligament (ACL-)reconstruction combined with high tibial
osteotomy because of chronic rupture of the ACL, cartilaginous
lesions of the medial compartment and varus malalignment. They were
divided into two groups. In 14 patients (non-LAD group) ACL
reconstruction was performed using the central third of the
autologous patellar tendon modified according to Eriksson-Trillat.
Thirteen patients (LAD group) underwent repair with the same
technique, but a Kennedy ligament augmentation device (LAD) in
"hot dog' technique and fixed over the top was added. The
postoperative treatment was the same in both groups. All patients
were examined according to IKDC criteria. KT-1000 arthrometer
testing at maximum manual traction was performed. Although the mean
follow-up interval was more than double in the non-LAD group
(non-LAD: 127 months vs LAD: 58 months), the subjective and clinical
results, IKDC evaluation and KT-1000 arthrometer testing results
were similar, showing no statistically significant difference.
Further, no complications due to the use of LAD occurred. In this
study no evident functional or clinical advantage from the
augmentation performed could be shown.
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citation
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stutz g, Boss A, Gächter A. Comparison of augmented and
non-augmented anterior cruciate ligament reconstruction combined
with high tibial osteotomy. Knee surgery, sports traumatology,
arthroscopy : official journal of the ESSKA 1996; 4:143-8.
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type
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journal paper/review (English)
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date of publishing
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0-1996
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journal title
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Knee surgery, sports traumatology, arthroscopy : official journal of
the ESSKA (4/3)
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ISSN print
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0942-2056
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pages
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143-8
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PubMed
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8961228
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