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題名 | Anterior Cruciate Ligament Reconstruction with Patellar Tendon Autograft--A Minimum Follow-up of 18 Months |
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作者姓名(中文) | 蔡效良; 魏志定; 陳子信; 陳鴻璋; 黃問昇; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷期 | 15:1 1998.03[民87.03] |
頁次 | 頁63-71 |
分類號 | 416.61 |
關鍵詞 | 前十字韌帶; Open ACL reconstruction; Patellar tendon autograft; |
語文 | 英文(English) |
英文摘要 | From March, 1993 to August, 1995, thirty-seven patients with rupture of the anterior cruciate ligament received a mini-open, one-incision technique of anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft at our hospital. Of these thirty-seven patients, thirty-three returned to regular follow-up. These thirty-three patients were divided into two groups. The acute group included twelve of these thirty-three patients who received the reconstruction within three weeks of injury. The chronic group included twenty-one patients who had the operation more than three weeks after the initial injury. The clinical results of these patients were evaluated after a mean duration of follow-up of twenty-seven months. The subjects at follow-up included range of motion, function of the leg with the one-leg-hop test, activity level as described by the International Knee Documentation Committee, Lysholm and Gillquist's knee functional scroe, and the stability of the knee through clinical examinations and with the use of KT-1000 arthrometer. the overall recovery rate of activity level was 88% (acute=83%; chronic= 90%). The mean functional score was 95 for the acute group and 96 for the chronic group (p>0.5). Loss of motion (defined as loss of extension of more than 10 ° or flexion of less than 125 ° at 3 months postoperatively) was noted in five patients (2 in the acute group and 3 in the chronic group; p>0.5). However, with the (numbers) available, there was no significant difference in the overall outcome between the acute and the chronic groups. Moreover, open anterior cruciate ligament reconstruction with the patellar tendon autograft provides a good clinical outcome for patients with ruptured anterior cruciate ligaments. |
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