title: Anterior cruciate ligament reconstruction in patients older than 35 years.
abstract: Anterior cruciate ligament (ACL) reconstruction is an increasingly established method even in patients older than 35 years. Our hypothesis is that functional outcome after ACL reconstruction is comparable in patients younger and older than 35 years. A total of 28 patients (5 women and 23 men) with average age of 41.5 years (36-68) were retrospectively evaluated. The average follow-up period was 33 months. All of them were treated operatively with arthroscopic single-bundle four-strand hamstring tendon autograft. The functional outcome was determined by clinical scores (Tegner activity scale and Lysholm knee score). The median values for the Lysholm knee score were preoperatively 77 and postoperatively 96 points (range, 90-100) with significant improvement (p < 0.05) and that for the Tegner activity scale were preoperatively 4.6 points (range, 3-6), which is the same pre- and postoperatively with an overall return to baseline for all patients. No significant correlation between functional outcome and patients' age was present and no reported significant complications. The good results and a high level of patient satisfaction show that ACL reconstruction is justified even in patients (older than 35 years) with symptomatic anterior knee instability. We commonly propose surgical treatment in symptomatic patients who express the need to restore their preinjury activity levels, regardless of their age.
authors: Department of Trauma and Orthopaedic Surgery, Tanta University Hospital, Tanta, Egypt.
authors: Sameh
authors: S
authors: El-Sallakh
authors: Department of Trauma and Orthopaedic Surgery, Whittington Hospital, London, United Kingdom.
authors: Philip
authors: P
authors: Pastides
authors: Department of Trauma and Orthopaedic Surgery, Whittington Hospital, London, United Kingdom.
authors: Panos
authors: P
authors: Thomas
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D000070600:Tibial Meniscus Injuries; D014182:Transplantation, Autologous