title: [Long-term outcomes after "anatomic" reconstruction of anterior cruciate ligament using central third of patellar tendon].
abstract: Reconstruction of the anterior cruciate ligament (ACL) is one of the most commonly performed procedures in orthopedics.
  
  
  OBJECTIVE
  The aim of the study was to evaluate long-term results of anterior cruciate ligament reconstruction using middle third patellar tendon grafts.
  
  
  METHODS
  The study included 29 patients with an average 8 years follow - up. All patients underwent arthroscopic reconstruction of ACL using the central third of the patellar tendon ligament. The grafts attachment points were determined by using the Howell pointer. The average patient age was 36 years (range from 16 to 48 years). Postoperative assessment was based on the modified Lysholm score, intensity of the degenerative changes in the Lawrence-Kellgren scale and stabilometric measurments of the knee by Rolimeter and Telos Stress Device.
  
  
  RESULTS
  According to the Lyscholm score 21 of 29 patients achieved good and very good result, 7 sufficient, and one case was reported as a bad result. Most of the unsatisfactory results were related with coexisting intraarticular injuries: meniscus and articular cartilage lesions. Outcomes of stabilometric measurments was strongly correlated with subjective results of survey.
  
  
  CONCLUSIONS
  In spite evolution of techniques and the introduction of new methods of ACL reconstruction, treatments performed several years ago using the BPTB transtibial technique was possible to obtain good results of treatment.
authors.affiliation: Military Institute of Medicine in Warsaw, Poland, Central Clinical Hospital of the Ministry of National Defense: Department of Orthopaedics.
authors.forename: Janusz
authors.initials: J
authors.lastname: Płomiński
authors.affiliation: Military Institute of Medicine in Warsaw, Poland, Central Clinical Hospital of the Ministry of National Defense: Department of Traumatology and Orthopaedics.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Piątkowski
authors.affiliation: Military Institute of Medicine in Warsaw, Poland, Central Clinical Hospital of the Ministry of National Defense: Department of Traumatology and Orthopaedics.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Rowicki
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000379:methods*; D001182:Arthroscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017847:Patellar Ligament / Q000637:transplantation*; D016896:Treatment Outcome; D055815:Young Adult
keywords: anterior cruciate ligament; instability; knee joint; patellar tendon; stress urine incontinence; urinary incontinence arthroscopy; urodynamic study