title: The predictive value of intraoperative KT-1000 arthrometer measurements in single incision anterior cruciate ligament reconstruction.
abstract: We reviewed 28 patients who underwent anterior cruciate ligament reconstruction with immediate, 1-, 2-, and 3-year postreconstruction KT-1000 manual maximum testing. Arthrometer measurements were correlated with functional knee criteria to evaluate the ability of the KT-1000 to predict postreconstruction functional results. Despite a range of immediate postreconstruction arthrometer injured-minus-normal (I - N) differences, there was no association with I - N difference at last follow-up. Patients followed-up for 1 year were not different from those who were followed-up for longer with respect to intraoperative or 1-year I - N difference or functional performance scores. Furthermore, excellent functional knee scores were the norm at all stages of follow-up despite a wide range of arthrometric laxity changes. The results suggest that functional knee criteria, although partially subjective, are more useful indicators of outcome than intrareconstruction and postreconstruction arthrometric measures.
authors.affiliation: Department of Orthopaedic Surgery, Geisinger Medical Center, Danville, Pennsylvania 17822-2130, USA.
authors.forename: B F
authors.initials: BF
authors.lastname: Giannotti
authors.forename: G C
authors.initials: GC
authors.lastname: Fanelli
authors.forename: T A
authors.initials: TA
authors.lastname: Barrett
authors.forename: C
authors.initials: C
authors.lastname: Edson
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D000886:Anthropometry / Q000295:instrumentation; D001182:Arthroscopy; D016025:Bone Transplantation / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000503:physiopathology*; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D017847:Patellar Ligament / Q000637:transplantation; D011237:Predictive Value of Tests; D016059:Range of Motion, Articular; D013997:Time Factors; D016896:Treatment Outcome