Clinical Evaluation of Patients with a Delayed Treatment of Anterior Cruciate Ligament Rupture
Carlos Acosta-Olivo1, *, Yadira Tamez-Mata1, Jaime González-Robles1, Agustín Dávila-Martínez1, Félix Vilchez-Cavazos1, Victor Peña-Martínez1, Santiago de la Garza-Castro1, Gregorio Villarreal-Villarreal1
1 Universidad Autónoma de Nuevo León, Hospital Universitario Dr. José E. González, Ortopedia y Traumatología, Mexico.
Isolated ACL lesions can occur in up to 44.5% of sports patients and its association with a meniscal injury can be 30-80%.
The aim of our study was to evaluate and compare clinical function of the knee in patients with reconstruction of the ACL, with or without meniscal injury.
This was a retrospective study during a four-year period of patients with ACL repaired injury. Inclusion criteria were indistinct gender, >18 years of age with a primary ACL repaired injury (with or without associated meniscal injury). The exclusion criterion were an associated knee injury (except meniscal injury), an associated fracture in the lower limb, previous knee surgery, reconstruction surgery, graft failure after 7 months, rheumatological or psychiatric disease. The Tegner Lysholm Knee Scoring Scale, the International Knee Documentation Committee (IKDC) form and a Visual Analog Scale (VAS) were applied. The patients were divided into groups, ≤1 year and >1 year of follow-up after surgery, and in ACL injury alone or ACL plus meniscal injury.
A total of 126 ACL injuries were analyzed. No significant difference was observed between groups in demographic data. In the patients with meniscal injury, the medial meniscus was involved in 24 (50%) cases, and the lateral meniscus 22 (46%). No difference was observed between groups in the evaluation with the Lysholm-Tegner score, IKDC and VAS.
Patients with isolated ACL lesions or ACL lesions plus meniscal injuries, treated with partial meniscectomy, presented a similar clinical and functional evolution even after four years of treatment.
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* Address correspondence to this author at the Universidad Autónoma de Nuevo León, Ortopedia y Traumatología, Ave Madero Gonzalitos, S/N, Mitras Centro, 4th floor, CP: 64480; Tel/Fax: +52(81) 83476698;
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