Anterior cruciate ligament reconstruction in patients over 40 years using hamstring autograft.
Anterior cruciate ligament (ACL) reconstruction is becoming increasingly popular in active middle-aged patients with symptomatic instability. The purpose of this study was to retrospectively evaluate the results of ACL reconstruction in patients over the age of 40. Twenty-one patients with a median age of 44 (range 40-56) who had arthroscopically assisted reconstruction using four-stranded hamstring autograft were reviewed. RCI titanium interference screw fixation was used in the tibia, and Endobutton CL fixation in the femur. The clinical results were assessed at a mean follow-up of 2 years. The median value for the Lysholm knee score was 92 (range 74-100), and the median value for the International Knee Documentation Committee score was 83 (range 53-97). For the Tegner activity scale, the median value was 6 (range 4-8) at follow-up. The median side-to-side difference using the KT-1000 arthrometer was 2 mm (range 0-3.5 mm). Hamstring ACL reconstruction in appropriately selected middle-aged patients can yield successful and satisfactory results.
Khan
R M
RM
Department of Orthopaedics, Mayday University Hospital, London Road, Croydon, Surrey CR7 7YE, UK. rashidkhan@doctors.org.uk
Prasad
V
V
Gangone
R
R
Kinmont
J C
JC
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000502:physiology; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D017060:Patient Satisfaction; D020127:Recovery of Function; D012189:Retrospective Studies; D053441:Suture Anchors; D013710:Tendons / Q000637:transplantation*; D014182:Transplantation, Autologous