Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization
The objective was to compare the effectiveness of isolated anatomical antegrade reconstruction of the anterior cruciate ligament (ACL) with bonetendon-bone autograft (BTB autograft) and in combination with lateral extra-articular tenodesis (LEAT) graft from the iliotibial tract (ITT).Material and me...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2019-02-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1030 |
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| author | V. V. Zayats A. K. Dulaev N. V. Zagorodnii A. V. Dydykin I. N. Ulianchenko |
| author_facet | V. V. Zayats A. K. Dulaev N. V. Zagorodnii A. V. Dydykin I. N. Ulianchenko |
| author_sort | V. V. Zayats |
| collection | DOAJ |
| description | The objective was to compare the effectiveness of isolated anatomical antegrade reconstruction of the anterior cruciate ligament (ACL) with bonetendon-bone autograft (BTB autograft) and in combination with lateral extra-articular tenodesis (LEAT) graft from the iliotibial tract (ITT).Material and methods. We analyzed 187 arthroscopic ACL reconstructions in patients with a Pivot shift test – 3+ degree. We performed an isolated ACL-R in 118 (63.1 %) patients in group 1 and added the LEAT from ITB to it in group 2.Results. According to IKDC-2000: 176 (94.1 %) patients were included in categories A and B, 11 (5.9 %) – in C. Significant differences in these groups appeared 15 months after the operation. According to KOSS: in group 2, the anterior and rotational knee stability, as well as the level of sports activity were higher, and pathological symptoms were less common.Conclusion. LEAT from ITB increases stability and functionality of the knee joint in patients with anatomical antegrade ACL reconstructions with BTB-autograft for terms over 15 months after the operation, and is an economically procedure. |
| format | Article |
| id | doaj-art-a2e3a83cec934dc48c20fef7b747e097 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2019-02-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-a2e3a83cec934dc48c20fef7b747e0972024-11-26T10:43:52ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252019-02-011781394410.24884/0042-4625-2019-178-1-39-44961Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilizationV. V. Zayats0A. K. Dulaev1N. V. Zagorodnii2A. V. Dydykin3I. N. Ulianchenko4Pavlov UniversityPavlov University; Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicinePeoples’ Friendship University of RussiaPavlov UniversityPavlov UniversityThe objective was to compare the effectiveness of isolated anatomical antegrade reconstruction of the anterior cruciate ligament (ACL) with bonetendon-bone autograft (BTB autograft) and in combination with lateral extra-articular tenodesis (LEAT) graft from the iliotibial tract (ITT).Material and methods. We analyzed 187 arthroscopic ACL reconstructions in patients with a Pivot shift test – 3+ degree. We performed an isolated ACL-R in 118 (63.1 %) patients in group 1 and added the LEAT from ITB to it in group 2.Results. According to IKDC-2000: 176 (94.1 %) patients were included in categories A and B, 11 (5.9 %) – in C. Significant differences in these groups appeared 15 months after the operation. According to KOSS: in group 2, the anterior and rotational knee stability, as well as the level of sports activity were higher, and pathological symptoms were less common.Conclusion. LEAT from ITB increases stability and functionality of the knee joint in patients with anatomical antegrade ACL reconstructions with BTB-autograft for terms over 15 months after the operation, and is an economically procedure.https://www.vestnik-grekova.ru/jour/article/view/1030plastic surgery of anterior cruciate ligamentantegrade transplantation of anterior cruciate ligamentlateral extraarticular tenodesisiliotibial tract |
| spellingShingle | V. V. Zayats A. K. Dulaev N. V. Zagorodnii A. V. Dydykin I. N. Ulianchenko Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization Вестник хирургии имени И.И. Грекова plastic surgery of anterior cruciate ligament antegrade transplantation of anterior cruciate ligament lateral extraarticular tenodesis iliotibial tract |
| title | Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization |
| title_full | Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization |
| title_fullStr | Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization |
| title_full_unstemmed | Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization |
| title_short | Functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization |
| title_sort | functional results of surgical reconstruction of the anterior cruciate ligament of the knee joint in combination with lateral stabilization |
| topic | plastic surgery of anterior cruciate ligament antegrade transplantation of anterior cruciate ligament lateral extraarticular tenodesis iliotibial tract |
| url | https://www.vestnik-grekova.ru/jour/article/view/1030 |
| work_keys_str_mv | AT vvzayats functionalresultsofsurgicalreconstructionoftheanteriorcruciateligamentofthekneejointincombinationwithlateralstabilization AT akdulaev functionalresultsofsurgicalreconstructionoftheanteriorcruciateligamentofthekneejointincombinationwithlateralstabilization AT nvzagorodnii functionalresultsofsurgicalreconstructionoftheanteriorcruciateligamentofthekneejointincombinationwithlateralstabilization AT avdydykin functionalresultsofsurgicalreconstructionoftheanteriorcruciateligamentofthekneejointincombinationwithlateralstabilization AT inulianchenko functionalresultsofsurgicalreconstructionoftheanteriorcruciateligamentofthekneejointincombinationwithlateralstabilization |