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Revista de la Asociación Médica del Centro Médico ABC

2012, Number 2

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An Med Asoc Med Hosp ABC 2012; 57 (2)

Anterior cruciate ligament reconstruction in patients older than 41 years. Results using allograft bone-patellar tendon

Abush TS, Atri LJ

Language: Spanish
References: 46
Page: 104-111
PDF size: 56.02 Kb.


ABSTRACT

Background: This article reviews the results of anterior cruciate ligament (ACL) reconstructions in 23 knees on 22 patients, with an average age of 48 years (range: 41-60 years). The main purpose was to determine the age limitations for indicating ACL reconstructions in patients with functional instability. Methods: Patients were evaluated with the Lysholm and Gillquist knee questionnaire, visual analog scale, satisfaction rating, physical examination, and radiographs. Nineteen of the 22 patients were available for follow-up at an average of 26 months after the surgical procedure. Seventeen patients returned for physical examination and two agreed to telephone interviews. Results: The mean Lysholm score was 93, visual analog score 0.5, satisfaction rating 100% and range of motion 0° to 135°. Seventeen of the 19 patients returned to acceptable activity levels. Fifteen patients had excellent or good results, while four patients had fair or poor results. Three of the four fair or poor results had moderate or severe knee arthrosis. Conclusion: Anterior cruciate ligament reconstruction with allograft in 41-60 year-old patients with minimal arthrosis is a safe and minimally invasive procedure that allows for return to satisfactory levels of activity.


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