1. Anterior cruciate ligament reconstruction: The interest of the double-incision mini-invasive technique for bone-tendon-bone harvesting.
- Author
-
Mourafiq, Omar, Benyias, Youssef, Boukhriss, Jalal, Chefry, Bouchaib, Bouabid, Ahmed Salim, Bencheba, Driss, and Boussouga, Moustapha
- Subjects
PATELLAR tendon ,ANTERIOR cruciate ligament ,CRUCIATE ligaments ,KNEE ,TRAUMATOLOGY ,LIGAMENTS - Abstract
Background: Anterior cruciate ligament (ACL) reconstruction using the patellar tendon is the most used for a strong fixation and early rehabilitation. Objectives: To carry out an epidemiological study and to assess the evolutionary profile of patients with anterior cruciate ligament (ACL) rupture treated by arthroscopic reconstruction of ACL by the patellar ligament, taken by the double incision technique. Methods: This is a retrospective study of 60 patients with ACL rupture who underwent arthroscopic ligamentoplasty, using double vertical incisional patellar ligament in the department of orthopaedic surgery and traumatology II, Mohamed V Military Hospital- Rabat,over a four-year period from 2012 to 2016. This study involved 56 men and 4 women with an average age of 29.3 years. Results: In the present study, at the subjective level: 54 patients (90%) estimated to have found a normal knee (International Knee Documentation Committee A (IKDC A), six patients (10%) estimated to have found a knee almost normal (IKDC B). Four patients (6.6% of cases) complained of mild patellar pain (IKDC B). On the objective plane: 58 patients (96%) found normal knee joint mobility (IKDCA), and 2 patients (4%) kept a 10° flessum (IKDC C). The Lachman-Trillat test was negative in 56 cases (94%) (IKDC A). Thepivot shift was absent in 55 patients (92%) (IKDC A). Conclusion: The arthroscopic reconstruction of the ACL by the patellar ligament, taken by the double incision technique remains the technique of choice in the surgical treatment of ACL ruptures, allowing a solid fixation with early rehabilitation. [ABSTRACT FROM AUTHOR]
- Published
- 2018