Correlation between radiological and clinical findings after anterior cruciate ligament reconstruction

Abstract

Correlation between radiological and clinical findings after anterior cruciate ligament reconstruction in our 39 patients shows that only the position of the graft affects the clinical outcome. Posterior graft location provides better clinical outcome and knee stability. On the other hand, anterior location is associated with worse postoperative IKDC scores, unstable knee and worse clinical outcome.

Results of surgical treatment of the patellar tendon rupture

“…We achieved the similar results with an average of 86 points. Our results of patellar tendon rupture surgery are also similar to quadriceps tendon reconstructions [2,3], but not as good as the average results of ACL reconstruction, which range between 92 and 95 points [35,[38][39][40][41]. The average result of reconstruction of patellar tendon in our 7 patients with BTB graft (Figure 2) was almost excellent, with an average of 89 points (80 -100), so all of them continued with sports activities [23].…”

“…Autografts and allografts (from the bone bank) are usually used in such cases, mostly Achilles tendon or BTB allograft [8,23,27]. In chronic ruptures, it is important to determine the length of allograft, because a too short leads to lack of flexion and too long results with lack of extension [35]. The results of direct repair of extensor mechanism failure are dismal (up to 90% unsatisfactory) because older population with knee replacement has a poor quality of tendon fibers [20,21].…”

Fracture of the patella after the anterior cruciate ligament reconstruction

“…Bone-patellar tendon-bone (BTB) remains the most common graft material for anterior cruciate ligament (ACL) reconstruction, and has several advantages compared with soft tissue grafts. The BTB graft is the strongest of all biological substitutes; it achieves strong initial graft fixation using interference screws, and offers rapid bony integration at the fixation points of the reconstruction [1][2][3][4]. The results of its application are excellent in 80-90% cases with sporadic complications of the knee extensor mechanism, that is, BTB harvest site morbidity and disruption of the knee extensor apparatus [5,6].…”

Influence of different levels of sports activities on the quality of life after the reconstruction of anterior cruciate ligament

“…Značajno intenzivnije treniraju profesionalni sportisti u odnosu na rekreativne nakon rekonstrukcije. Ključne reči: Sport; Kvalitet života; Prednji ukršteni ligament; Rekonstrukcija prednjeg ukrštenog ligamenta; Rekreacija; Sportisti; Polne karakteristike rior cruciate ligament require special attention in training and competition of athletes because they induce serious consequences and are one of the leading risk factors for early development of degenerative processes in the knee joint [4,5]. They lead to difficulties in walking, running and jumping especially during the change of direction and thus reduce the quality of patients' life.…”