title: Mid-Term Outcomes of Anterior Cruciate Ligament Reconstruction with Far Anteromedial Portal Technique.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the mid-term outcomes of anatomic anterior cruciate ligament (ACL) reconstruction using two anteromedial (AM) portals by comparing with short-term follow-up results.
  
  
  METHODS
  Fifty patients who were treated by ACL reconstruction using a two AM portal technique were evaluated retrospectively. The follow-up period was at least 5 years. The mean follow-up period was 68.5±13.9 months. The mid-term clinical outcomes were compared with short-term (≥12 months) results. For the assessment of knee stability, anterior tibial translation was evaluated using the Lachman test and the KT-2000. Rotational stability was evaluated using pivot shift test. For clinical assessment, the Lysholm and International Knee Documentation Committee scores were used.
  
  
  RESULTS
  The average anterior translation was 2.1±1.4 mm at the short-term follow-up and 2.8±1.8 mm at the mid-term follow-up. Stability and mid-term clinical outcomes were not significantly improved compared to the short-term follow-up results. At the mid-term follow-up, anteroposterior (AP) instability assessed by the KT-2000 was slightly increased, but still acceptable. On the other clinical physical evaluation, there was no statistically significant difference.
  
  
  CONCLUSIONS
  The short-term and mid-term outcomes of ACL reconstruction using the two AM portal technique were not significantly different except for AP stability although the value was less than 3 mm at both follow-ups. Therefore, this operative technique could be considered a satisfactory alternative for ACL reconstruction.
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Yoon Sang
authors.initials: YS
authors.lastname: Jeon
authors.affiliation: Department of Orthopedic Surgery, Jeju National University College of Medicine, Jeju, Korea.
authors.forename: Sung Wook
authors.initials: SW
authors.lastname: Choi
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Ju Hyun
authors.initials: JH
authors.lastname: Park
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Jae Sik
authors.initials: JS
authors.lastname: Yoon
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Jung Sub
authors.initials: JS
authors.lastname: Shin
authors.affiliation: Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Myung Ku
authors.initials: MK
authors.lastname: Kim
keywords: Anterior cruciate ligament; Knee; Mid-term outcome; Reconstruction