[Critical study of the Kennedy-LAD procedure].
The authors report their experience with ligament repair, using the Kennedy-LAD technique in 19 cases of chronic anteromedial and anterolateral instability. The postoperative follow-up was 3 to 4 years. They conclude that this repair provides excellent stability, but that the results are jeopardized by serious problems of biocompatibility; in 63% there was recurrent synovitis. According to the "Arpège" criteria, there was a mean of 58% poor results and 42% good or excellent results. Twenty-one percent of the patients were satisfied with the operation, and 25% were seriously dissatisfied. Stability, as evaluated by the postoperative radiological active Lachman test, was normal in 84% of the patients (0-6 mm anterior tibial deplacement).
Amorós Barceló
P J
PJ
Service de Pathologie de l'Appareil Locomoteur, Université Centrale de Barcelone, Hôpital de Bellvitge Prínceps d'Espanya.
Marín Navarro
M
M
Cabot Dalmau
J
J
García García
J
J
Amillo Jiménez
J R
JR
D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001672:Biocompatible Materials; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017847:Patellar Ligament / Q000637:transplantation*; D011126:Polypropylenes / Q000627:therapeutic use; D011183:Postoperative Complications / Q000209:etiology; D019736:Prostheses and Implants; D013585:Synovitis / Q000209:etiology
D001672:Biocompatible Materials; D011126:Polypropylenes
Etude critique de la plastie de Kennedy-Lad.