title: Outcome of ACL Reconstruction and Concomitant Articular Injury Treatment.
abstract: BACKGROUND
  Articular cartilage injuries are a common clinical problem at the time of ACL reconstruction with an incidence rate of 16-46%. Good results of ACL reconstruction combined with the treatment of chondral lesions have been published in some studies.
  
  
  METHODS
  After statistical analysis 30 patients were selected and divided in 2 groups. The first group consisted of 15 patients with isolated ACL tear without any other concomitant injuries and the second group consisted of 15 patients with ACL tear and concomitant high grade (grade 3 or 4 of outerbridge classification) contained articular cartilage injuries during arthroscopy. Group 1 underwent ACL reconstruction and group 2 underwent ACL reconstruction combined with chondroplasty via the drilling or microfracture technique. For each patient the Lysholm knee score questionnaire was completed before surgery, 6 months and 1 year after surgery.
  
  
  RESULTS
  The mean Lysholm knee score in both groups improves: 9.6 points after 6 months and 16.06 points after 1 year in group 1, 23.26 points after 6 months, 30.66 after 1 year in group 2, which was statistically significant (Pvalue<0.05).
  
  
  CONCLUSIONS
  Improvement in the Lysholm knee score in both groups shows that ACL reconstruction with concomitant chondroplasty in high grade chondral injuries has good results with patient satisfaction and improvement in their quality of life.
authors.affiliation: Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Seyed Mohammad
authors.initials: SM
authors.lastname: Tahami
authors.affiliation: Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Seyed Mohammad Derakhshan
authors.initials: SM
authors.lastname: Rad
keywords: Anterior cruciate ligament; Chondral injury; Lysholm knee score