The potential benefit of thermal shrinkage for lax anterior cruciate ligaments.
نویسندگان
چکیده
Radiofrequency thermal shrinkage of the anterior cruciate ligament (ACL) injured knee is a relatively recent treatment. The purpose of this study was to retrospectively analyse the results in a cohort of 32 patients with a minimum follow-up of 12 months (range 12-37 months). Cases were acute (1) or chronic (31), involving either a native or reconstructed ligament. Native ACL injuries were: lax but intact (12 + 1 acute), partial tears with remaining intact femoral attachment (4) or completely torn and attached to the posterior cruciate ligament (PCL) (6). Reconstructions were: Hamstrings (3), Bone-Patella Tendon-Bone (5) or allograft (1). We also recorded concomitant pathology, function status, Lysholm and Tegner scores and KT2000 values. The procedure was successful in limiting instability overall in 72% (23/32), and in particular 44% of reconstructed ligaments (4/9). There was no correlation of results to the treatment of co-existent pathology. The clinical scores remained high in successful cases although sporting function did reduce by follow-up. We conclude that despite these results the technique is still of value in appropriately selected, counselled and rehabilitated individuals. It is a safe technique that may avoid the necessity to proceed to reconstruction and can be considered as a planned procedure or as an adjunct to other therapy for instability at the time of arthroscopy for other pathology.
منابع مشابه
Long-term failure of thermal shrinkage for laxity of the anterior cruciate ligament.
BACKGROUND Appropriate treatment for anterior cruciate ligament laxity, owing to partial tears of the native ligament or lax reconstruction, is unclear. Studies suggest that a significant percentage of these untreated tears may progress to complete tears or the patient may develop additional injuries to the meniscus or articular cartilage. Shrinkage of the ligament or graft using thermal energy...
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Abstract Introduction: The presence of cruciate ligaments are very important for normal knee kinematics. Knee arthroplasty prostheses, in which these ligaments are maintained, have better kinematics. The aim of the present study was to investigate the association between femoral intercondylar notch narrowing in radiography and clinical and histopathologic integrity of anterior cruciate li...
متن کاملتحلیل دامنه حرکتی و سرعت زاویه ای مفاصل اندام تحتانی در بیماران دارای رباط صلیبی قدامی بازسازی شده هنگام فرود از ارتفاع
Aims and background: Anterior cruciate ligament injury is the most common ligament injury of the lower limb that necessitates reconstruction as a proper treatment approach. It is now up to the researchers to ask, are the altered kinematic patterns in the lower limbs corrected by this reconstruction? The present study aims to analyze the range of motion and angular velocity of the lower limb jo...
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عنوان ژورنال:
- Acta orthopaedica Belgica
دوره 70 3 شماره
صفحات -
تاریخ انتشار 2004