Korean J Sports Med.  2012 Dec;30(2):79-84. 10.5763/kjsm.2012.30.2.79.

Relationship between the Synovialization and the Clinical Results after Anterior Cruciate Ligament Reconstruction Using Tibialis Tendon Allograft

• Youm YS
• Cho SD
• Eo J
• Lee KJ
• Choi YJ

• KMID: 2288596
• DOI: http://doi.org/10.5763/kjsm.2012.30.2.79

Abstract

The purpose of this study was to evaluate the relationship between the second-look arthroscopic findings of synovialization and the clinical results after the arthroscopic anterior cruciate ligament (ACL) reconstruction with the fresh-frozen tibialis tendon allograft. Fifty-seven patients could be examined with the second-look arthroscopy after the ACL reconstruction with tibialis tendon allograft. The average duration from reconstruction to second-look arthroscopy was 18.4 months (range, 4-48 months). The patients were classified, according to the extent of synovialization, into 3 groups; 37 cases (64.9%) in group A (good), 15 cases (26.3%) in group B (partial), and 5 cases (8.8%) in group C (poor). The clinical results were compared in each group. The 2000 International Knee Documentation Committee (IKDC) subjective knee score was 80 or more in 31 cases (83.8%) in group A, 9 (60%) in group B, and 1 (20%) in group C respectively. All thirty seven cases (100%) in group A had negative or 1+firm end-point Lachman test and negative pivot shift test, however, only 2 cases (40%) in group C. KT-1000 arthrometer measurement was less than 5 mm in 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C. According to the 2000 IKDC knee examination form, 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C respectively were normal or nearly normal. The synovialization of the graft had positive correlation with the clinical results after the ACL reconstruction with fresh-frozen allograft.

Keyword

Anterior cruciate ligament reconstruction; Tibialis tendon allograft; Synovialization

MeSH Terms

Anterior Cruciate Ligament
Anterior Cruciate Ligament Reconstruction
Arthroscopy
Humans
Knee
Tendons
Transplantation, Homologous
Transplants

Figure

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  Fig. 1 Good synovialization of the anterior cruciate ligament graft was showed in 37 cases.

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  Fig. 2 Partial synovialization of the anterior cruciate ligament graft was showed in 15 cases.

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  Fig. 3 Poor synovialization of the anterior cruciate ligament graft was showed in 5 cases.

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  Fig. 4 Graft failure was showed in one case due to poor synovialization.

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