Relationship between the Synovialization and the Clinical Results after Anterior Cruciate Ligament Reconstruction Using Tibialis Tendon Allograft

Yoon-Seok Youm; Sung-Do Cho; Jin Eo; Ki-Jae Lee; Young-Jin Choi

doi:10.5763/kjsm.2012.30.2.79

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Youm, Cho, Eo, Lee, and Choi: Relationship between the Synovialization and the Clinical Results after Anterior Cruciate Ligament Reconstruction Using Tibialis Tendon Allograft

Clinical Article

The Korean Journal of Sports Medicine

The Korean Journal of Sports Medicine 2012; 30(2): 79-84.

Published online: 12 December 2012

DOI: https://doi.org/10.5763/kjsm.2012.30.2.79

Relationship between the Synovialization and the Clinical Results after Anterior Cruciate Ligament Reconstruction Using Tibialis Tendon Allograft

Yoon-Seok Youm, MD, Sung-Do Cho, MD, Jin Eo, MD, Ki-Jae Lee, MD, Young-Jin Choi, MD

Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Correspondence: Sung-Do Cho. Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwan-doro, Dong-gu, Ulsan 682-714, Korea. Tel: +82-52-250-7129, Fax: +82-52-235-2823, sdcho@uuh.ulsan.kr

Received 23 February 2012 Revised 24 June 2012 Accepted 5 July 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this study was to evaluate the relationship between the second-look arthroscopic findings of synovialization and the clinical results after the arthroscopic anterior cruciate ligament (ACL) reconstruction with the fresh-frozen tibialis tendon allograft. Fifty-seven patients could be examined with the second-look arthroscopy after the ACL reconstruction with tibialis tendon allograft. The average duration from reconstruction to second-look arthroscopy was 18.4 months (range, 4-48 months). The patients were classified, according to the extent of synovialization, into 3 groups; 37 cases (64.9%) in group A (good), 15 cases (26.3%) in group B (partial), and 5 cases (8.8%) in group C (poor). The clinical results were compared in each group. The 2000 International Knee Documentation Committee (IKDC) subjective knee score was 80 or more in 31 cases (83.8%) in group A, 9 (60%) in group B, and 1 (20%) in group C respectively. All thirty seven cases (100%) in group A had negative or 1+firm end-point Lachman test and negative pivot shift test, however, only 2 cases (40%) in group C. KT-1000 arthrometer measurement was less than 5 mm in 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C. According to the 2000 IKDC knee examination form, 37 (100%) in group A, 14 (93.3%) in group B, and 2 (40%) in group C respectively were normal or nearly normal. The synovialization of the graft had positive correlation with the clinical results after the ACL reconstruction with fresh-frozen allograft.

Keywords: Anterior cruciate ligament reconstruction, Tibialis tendon allograft, Synovialization

Figures and Tables

Fig. 1

Good synovialization of the anterior cruciate ligament graft was showed in 37 cases.

Fig. 2

Partial synovialization of the anterior cruciate ligament graft was showed in 15 cases.

Fig. 3

Poor synovialization of the anterior cruciate ligament graft was showed in 5 cases.

Fig. 4

Graft failure was showed in one case due to poor synovialization.

Table 1

Grade of graft synovialization in second look arthroscopy and clinical results

Values are presented as number (%).

IKDC: International Knee Documentation Committee.

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