Arthroscopic Anterior Cruciate Ligament Repair

ABSTRACT

PURPOSE: To evaluate the efficacy of arthrorscopic ACL repair on femoral side using suture technique. MATERIALS AND METHODS: We performed arthroscopic ACL repair suture technique on femoral side and evaluate the results using the functional grading system of Lysholm and physical examination in 15 cases between July, 1997 and June, 2004 that were able to be followed up for more than 24 months. The mean age was 32.1 years old, the follow up period were 58.7 month. RESULTS: The postoperative Lysholm knee score increased from preoperative mean 17 to postoperative mean 93 by an average of 76 points. Postoperative Excellent group over 90 points were 6 cases(40%), Good group over 75 points were 8 cases(53%), Fair group over 51 points was 1 case(7%). On anterior drawer test, 3 cases showed anterior insta- bility between 0 and 2mm and 2 cases between 3 and 5mm. But other 10 cases did not show anterior instability on anterior drawer test. On stress lateral radiographic evaluation, the mean anterior translation of tibia was 2(0~5)mm. CONCLUSION: We concluded that arthroscopic ACL repair with suture technique is one of the most reliable and effective method to recover the instability and full ROM enabling early rehabilitation.